Atrophic Vaginitis

OVERVIEW

Atrophic vaginitis refers to a condition of vaginitis that is caused by reduced estrogen support of the vulvovaginal tissues.

WHAT CAUSES IT?

Either natural or induced menopause can be the cause of this condition.

WHAT MAKES US SUSPECT IT?

Risk Factors

Postmenopause

Initial Presentation: vaginitis is a common initial presentation for this condition.

  • Vaginitisitching, dryness, dyspareunia
  • Urinary symptoms: painful urination, frequency, urgency, incontinence (both stress and urge).

Physical Examination:

Gynecological exam can reveal the following findings:

  • Dry, pale, smooth vaginal epithelium
  • Loss of elasticity of the vulvar skin
  • Loss of vaginal rugae
  • Scarce pubic hair
  • Loss of labial  fat pad
HOW DO WE TREAT IT?

First line treatment involves using a vaginal moisturizer & lubricant

Second-line treatment is typically a topical vaginal estrogen.

ARCHIVE OF STANDARDIZED EXAM QUESTIONS

This archive organizes questions that inquire about atrophic vaginitis

 

Page Updated: 10.09.2016