Atrophic Vaginitis: Symptoms And Causes


atrophic vaginitis nhs

The atrophic vaginitis is thinning, drying and irritation of the vaginal partitions which may occur when your physique has much less estrogen. The atrophic vaginitis occurs most frequently after menopause [1]. For most ladies, the atrophic vaginitis makes the sexual activity painful, but in addition, it might result in distressing urinary signs. This situation is inflicting each urinary and vaginal signs, so medical doctors utilizing the time period GSM (genitourinary syndrome of menopause) to explain the atrophic vaginitis and its accompanying signs. There are lots of easy and efficient remedies for it.

The lowered estrogen ranges are leading to adjustments to your physique, however this doesn’t imply that it’s important to dwell with the discomfort of atrophic vaginitis. It’s best to have common sexual exercise, irrespective of whether it is with or with out associate. This may help to stop the atrophic vaginitis. The sexual exercise can improve the blood movement to your vagina and this may help to maintain your vaginal tissues wholesome. [2]

atrophic vaginitis bleeding

Atrophic vaginitis signs

The most typical indicators and signs of atrophic vaginitis [2] embody:

  • Shortening and tightening of the vaginal canal
  • Vaginal dryness
  • Decreased vaginal lubrication throughout sexual exercise
  • Vaginal burning
  • Discomfort with intercourse
  • Vaginal discharge
  • Mild bleeding after intercourse
  • Genital itching
  • Urinary incontinence
  • Burning with urination
  • Recurrent urinary tract infections
  • Urgency with urination
  • Frequent urination

In essentially the most circumstances, postmenopausal ladies expertise atrophic vaginitis [1]. However, few ladies look for therapy. Girls are fairly often embarrassed to debate about their signs with their medical doctors and so they resign themselves to dwell with these signs. It’s best to make an appointment along with your physician you probably have unexplained vaginal recognizing or bleeding, soreness, burning or uncommon discharge. Additionally, it’s best to make an appointment along with your physician in case you expertise painful intercourse which isn’t resolved by utilizing a vaginal moisturizer or water – primarily based lubricant.

Atrophic vaginitis causes

It’s attributable to a lower within the estrogen manufacturing. Much less estrogen makes your vaginal tissue, after which it’s thinner, drier, much less elastic and extra fragile. There are completely different causes which might result in drop in estrogen ranges, equivalent to

  • Aspect impact of the breast most cancers hormonal remedy [3]
  • After menopause [1]
  • After chemotherapy for cancer [3]
  • Over time main as much as menopause (often called perimenopause) [1]
  • After pelvic radiation remedy for most cancers [4]
  • After surgical elimination of each ovaries (often called surgical menopause)
  • While you’re taking medicines that may have an effect on estrogen ranges, equivalent to some contraception drugs [5]
  • Throughout breast – feeding

The indicators and signs of atrophic vaginitis might start to hassle you throughout the years main as much as menopause or they could not develop into an issue till a number of years into menopause. This can be a quite common situation, however not all postmenopausal ladies expertise atrophic vaginitis. The common sexual exercise, with or with out associate, may help you to keep up wholesome vaginal tissues.

Danger elements

There are some elements which may improve your threat for atrophic vaginitis, equivalent to

  • No sexual exercise: The sexual exercise with or with out associate can improve the blood movement and makes your vaginal tissues extra elastic.
  • No vaginal births: In some research are discovered that girls who’ve by no means given beginning vaginally have extra possibilities of getting atrophic vaginitis in comparison with ladies who’ve had vaginal deliveries.
  • Smoking: It’s recognized that the cigarette smoking can have an effect on your blood circulation and it will possibly reduce the movement of blood and oxygen to the vagina and different close by areas. Additionally, smoking reduces the results of naturally occurring estrogens in your physique. [6]


The atrophic vaginitis of menopause can improve your threat of:

  • Urinary issues: These urinary adjustments that are related to atrophic vaginitis can contribute to urinary issues. You may expertise elevated frequency or urgency of urination or burning with urination. Some ladies can expertise urine leakage (often called incontinence) or extra urinary tract infections. [7]
  • Vaginal infections: These adjustments within the acid steadiness of your vagina could make the vaginal infections extra possible. [8]


[1] Lee A, Kim TH, Lee HH, et al. Therapeutic approaches to atrophic vaginitis in postmenopausal ladies: A scientific overview with a community meta-analysis of randomized managed trials. Journal of Menopausal Drugs. 2018;24(1):1–10. doi:10.6118/jmm.2018.24.1.1

[2] Shen J, Music N, Williams CJ, et al. Results of low dose estrogen remedy on the vaginal microbiomes of ladies with atrophic vaginitis. Scientific Stories. 2016;6.

[3] Lester J, Pahouja G, Andersen B, Lustberg M. Atrophic vaginitis in breast most cancers survivors: A tough survivorship concern. Journal of Customized Drugs. 2015;5(2):50–66. doi:10.3390/jpm5020050

[4] Jensen PT, Froeding LP. Pelvic radiotherapy and sexual perform in ladies. Translational Andrology and Urology. 2015;4(2):186–205.

[5] Coelho FC, Barros C. The potential of hormonal contraception to affect feminine sexuality. Worldwide Journal of Reproductive Drugs. 2019;2019:9701384. doi:10.1155/2019/9701384

[6] Brotman RM, He X, Gajer P, et al. Affiliation between cigarette smoking and the vaginal microbiota: a pilot examine. BMC Infectious Illnesses. 2014;14:471. doi:10.1186/1471-2334-14-471

[7] Goldstein I, Dicks B, Kim NN, Hartzell R. Multidisciplinary overview of vaginal atrophy and related genitourinary signs in postmenopausal ladies. Sexual Drugs. 2013;1(2):44–53. doi:10.1002/sm2.17

[8] Lee A, Kim TH, Lee HH, et al. Therapeutic approaches to atrophic vaginitis in postmenopausal ladies: A scientific overview with a community meta-analysis of randomized managed trials. Journal of Menopausal Drugs. 2018;24(1):1–10. doi:10.6118/jmm.2018.24.1.1


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