Atrophic Vaginitis
What are the treatments for the condition?
HRT is the treatment for low levels of estrogen in a woman's body. Vaginal
creams used to treat this condition are usually applied two or three times
a week. Estrogen tablets may be given alone if the uterus has been removed.
Otherwise, estrogen may be combined with progestin. Skin patches of estrogen may
be used instead of pills. The patches only need to be changed once or twice a week,
so they can be more convenient to use.
A woman with this condition can also use these measures to help prevent irritation of the vagina.
Moisten the vaginal opening with K-Y jelly or glycerin-based ointments before intercourse.
Spend more time on intimacy and foreplay before vaginal penetration.
Avoid chemical irritants such as spermicides, douches, bubble baths, and deodorant sprays.
Use gentle soaps for bathing.
Wipe from front to back after urinating or having a bowel movement.
If there is vaginal bleeding, use unscented sanitary napkins instead of tampons.
Avoid tight pantyhose or nylon underwear.
What are the side effects of the treatments?
Estrogen creams can cause vaginal spotting. The cream itself
may also be irritating. Estrogen pills and patches may cause the following side effects:
abdominal bloating and cramping
breast tenderness
nausea
vaginal spotting or bleeding
These side effects generally go away within a month or so after starting HRT, as the body adjusts.
What happens after treatment for the condition?
Without treatment, this condition and its symptoms will not go away.
With treatment, symptoms will improve for as long as the treatment lasts. Normal vaginal
moisture usually returns after 2 to 4 weeks of vaginal cream therapy.
How is the condition monitored?
Once treatment has eliminated the symptoms, be sure to make follow-up
visits to the doctor. At least once a year, the doctor should do a pelvic examination
and physical. Report any new or worsening symptoms to the doctor.
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