What Every Woman Should Know About Vaginal Atrophy

By Korin Miller for Good Housekeeping

a bird flying in the sky: This painful condition occurs during or after menopause and impacts 45 percent of women. Here, how to recognize and treat the symptoms.
© Kai Wai Wong – Getty Images

Your body—and, specifically, your vagina—goes through changes throughout your life. That’s especially true during menopause, when things can start to feel different down there.

Menopause causes your body’s levels of the hormone estrogen to decrease, and that can affect your vagina and urinary tract, explains the American College of Obstetricians and Gynecologists (ACOG). Over time, your vaginal lining can get thinner, dryer, and less elastic.

This condition, called vaginal atrophy, impacts 45 percent of women, according to a study published in the Journal of Menopausal Medicine. Because of reduced vaginal blood flow and capacity for arousal and orgasm, vaginal atrophy can interfere with your ability to have pleasure during sex, says women’s health expert Jessica Shepherd, M.D., an OB-GYN in Dallas, Texas.

The implications go beyond sex. “Vaginal atrophy can bother you even when you’re just taking a walk,” says Mary Jane Minkin, M.D., a clinical professor of obstetrics and gynecology and reproductive sciences at Yale Medical School.

We know—it all sounds pretty awful. But the good news is that it’s treatable. Here’s the info you need about the condition, and how to get relief.

What are the symptoms of vaginal atrophy?

Every woman’s experience is slightly different, Dr. Minkin says. In general, the ACOG says you may experience the following symptoms:

Vaginal burning and itching

Decreased lubrication during sex

Bleeding after sex

More frequent vaginal and urinary tract infections

A frequent need to pee

The urinary symptoms may seem surprising, but vaginal atrophy also thins the lining of the bladder, Dr. Shepherd says, which opens women up to bladder infections.

Painful sex is one of the biggest issues, Dr. Minkin says. “The lack of lubrication can irritate the vaginal tissue, and friction from sex irritates it even more,” she explains. The most frustrating part? Avoiding sex because it’s painful can make the symptoms of vaginal atrophy worse.

Dryness alone can be a difficult thing to deal with, Dr. Minkin says. It can cause itchiness and burning while going about everyday life. 

How do you treat it?

Thankfully, there are many options to treat vaginal atrophy. Some are over-the-counter, others are prescribed by your gynecologist or doctor. According to the ACOG, treatments include:

Vaginal moisturizers and lubricants

These OTC products help relieve dryness and prevent painful sex, and are typically available in drugstores.

Local estrogen therapy

A small dose of estrogen is released via a vaginal cream, ring or dissolvable tablet directly into the vaginal tissue, where it helps restore the thickness and elasticity of the vaginal lining. These prescription treatments also help relieve dryness and irritation, Dr. Minkin says.

Systemic estrogen therapy

Take a pill, or apply a patch, gel or spray to your skin, and estrogen is released into the bloodstream and travels to organs and tissues that need more of the hormone.

Keep in mind it’s important to take progestin when doing an estrogen therapy, according to the ACOG. Estrogen-only treatments—which are available by prescription—can increase the risk of cancer in the uterus lining, and progestin helps counter that. Estrogen makes cells in the lining of the uterus multiple and divide while progestins help shed that lining, Dr. Shepherd explains.

Selective estrogen receptor modulators

Also known as SERMs, this prescription medication binds to estrogen receptors that are located all over the body and can help stimulate production of the hormone.

When should I talk to my doctor about this?

Have the chat if you are nearing menopause (typically in your 40s and 50s), Dr. Shepherd says. “Vaginal atrophy should be a continuing discussion so that a woman knows what to expect, and as symptoms start to happen, they can be addressed,” she says.

No matter your age, if your vagina feels uncomfortable or if you’re dealing with painful sex, always bring it up with your provider, says Dr. Minkin. “This condition is easy to take care of.”

Source: https://www.msn.com/en-us/health/medical/what-every-woman-should-know-about-vaginal-atrophy/ar-BB18D3zn?ocid=msedgdhp

Author: Dennis Hickey

There are no limits to success to those who are prepared. I want to help you prepare by sharing what I have learned about life skills, and how I am still learning. Not knowing these skills can effect your personal growth. I hope you enjoy and learn from this information. Feel free to connect with me, to comment or e-mail your question and opinions. Sit back, relax and let the learning begin. Email: dhickey389@msn.com