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You are here : 3-RX.com > Medical Encyclopedia > Diseases and Conditions > Atrophic Vaginitis: Treatment & Monitoring
      Category : Health Centers > Menopause

Atrophic Vaginitis

Atrophic Vaginitis | Symptoms & Signs | Diagnosis & Tests | Prevention & Expectations | Treatment & Monitoring

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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    Atrophic Vaginitis: Prevention & Expectations

     

    Author: Eva Martin, MD
    Reviewer: Eileen McLaughlin, RN, BSN
    Date Reviewed: 02/11/02



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