Vagina after menopause


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The most common symptoms of vaginal atrophy are dryness, irritation, and pain during intercourse. Although menopause is the most common cause, vaginal atrophy can result from anything that lowers estrogen production. That includes chemotherapy, radiation, removal of the ovaries during hysterectomy, and use of anti-estrogenic therapies such as aromatase inhibitors, tamoxifen Nolvadexand drugs like leuprolide Lupron and nafarelin Synarelwhich are used to treat fibroids and endometriosis. Unlike hot flashes, which usually subside with time, vaginal atrophy is likely to persist and become worse without treatment.

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Managing postmenopausal vaginal atrophy

Atrophic vaginitis is a vaginal disorder that usually happens after menopause. When estrogen levels fall, the vaginal walls can become thin, dry, and inflamed. This can be uncomfortable. Between 10 and 40 percent of women experience symptoms of atrophic vaginitis after menopausebut only 20 to 25 percent will seek medical help.

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Vaginal and Urinary Symptoms of Menopause

Back to Health A to Z. Vaginal dryness is a common problem that many women have at some point in their lives. But there are things that can help. These things can cause a change in your hormone levels.

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Up to 40 percent of postmenopausal women have symptoms of atrophic vaginitis. Because the condition is attributable to estrogen deficiency, it may occur in pre-menopausal women who take antiestrogenic medications or who have medical or surgical conditions that result in decreased levels of estrogen. The thinned endometrium and increased vaginal pH level induced by estrogen deficiency predispose the vagina and urinary tract to infection and mechanical weakness. The earliest symptoms are decreased vaginal lubrication, followed by other vaginal and urinary symptoms that may be exacerbated by superimposed infection.