Understanding Vaginal Atrophy

What is Vaginal Atrophy?

Vaginal atrophy, also known as atrophic vaginitis, is the thinning, drying, and inflammation of the vaginal walls due to a decrease in oestrogen levels. It commonly occurs after menopause but can also affect women during breastfeeding or those taking certain medications.

What are the Symptoms?

• Dryness: Feeling of dryness in the vaginal area.
• Burning Sensation: Discomfort or burning in the vagina.
• Itching: Persistent itching around the vaginal area.
• Painful Intercourse: Discomfort or pain during sexual activity.
• Urinary Issues: Increased frequency or urgency to urinate, and a higher risk of urinary tract infections.

How to treat Vaginal Atrophy?

• Lifestyle Changes: Staying sexually active can improve vaginal health.
• Lubricants: Using water-based lubricants during intercourse to reduce discomfort.
• Moisturizers: Regular use of vaginal moisturizers to maintain moisture.
• Hormonal Treatments: Oestrogen therapy, either systemic or local (creams, tablets, rings), to alleviate symptoms.
• Non-Hormonal Treatments:
• Selective oestrogen receptor modulator (SERM) can help relieve symptoms without using oestrogen.
• Vaginal Laser Therapy: A non-invasive procedure that stimulates collagen production and improves vaginal health..
• Diet and Supplements: Foods rich in phytoestrogens (like soy products) and omega-3 fatty acids, may help improve symptoms.
• Pelvic Floor Exercises: Regular Kegel exercises can improve blood flow and muscle tone in the vaginal area.

When to see a doctor?

If you experience persistent symptoms affecting your quality of life, it’s important to consult a healthcare professional.

Preventive Measures

Regular Check-ups: Routine gynaecological exams to monitor vaginal health.

Healthy Lifestyle: Balanced diet, regular exercise, and avoiding smoking can help maintain overall health, including vaginal health.

Understanding vaginal atrophy can help you take proactive steps to manage symptoms and maintain a healthy, comfortable lifestyle. If you have any concerns, don’t hesitate to reach out to your healthcare provider for personalised advice and treatment options.

In the videos below Dr Marina Curran explains what Vaginal Atrophy is, the causes, the symptoms and the various treatment options.