Atrophic Vaginitis

Atrophic vaginitis is one type of vaginitis and it is the inflammation of the vaginal lining due to the thinning and reduced lubrication in the vagina. This is a result from estrogen decrease after menopause. Other conditions might contribute to the dryness of the vagina like the medication of anti-estrogen and surgical conditions resulting to the decrease of estrogen level.

Atrophic vaginitis indications are soreness in the vagina, itching, pain or bleeding after or during intercourse. Treatment will be estrogen replacement.

There are about 40 percent of women in their postmenopausal who have these symptoms and suffer from this condition. It is because this is associated with the deficiency of the estrogen that usually occurs in women during premenopausal among other causes.

Increased pH level of the vagina is induced by estrogen insufficiency and the thinning of the endometrium inclines vagina and the urinary tract to be infected and weakened.

Symptoms of atrophic vaginitis are increasing dryness and soreness in the vagina, painful intercourse often times with bleeding and itching. Atrophic vaginitis is also known as vaginal dryness or vaginal atrophy.

To diagnose atrophic vaginitis, the doctor will inspect the skin in the vagina and vulva. A discharge sample will be obtained and examined. The information gained from the examination will determine if there is an atrophic vaginitis condition.

Atrophic Vaginitis Causes

Cause, as aforementioned, is the lack of estrogen in the surrounding of the vulva and vagina.

Atrophic Vaginitis Treatment

Estrogen Replacement

helps restore estrogen levels in the body. Ways in which to do this treatment:

  1. Systemic estrogen gives the whole body estrogen.
  2. Estrogen pills like Ogen, Premarin, Estrace and Orthoest.

Transdermal Patch

A patch that is located on the skin. The patch should be placed on the upper parts of the body and the most common brands are Estraderm and Climara.

Phytoestrogens which is Dietary-based

This is a plant-derived treatment that can be used only by some few patients. Its food sources are tofu or soy milk.

Topical Estrogen

This is an estrogen replacement the gives estrogen to the place it is applied to. Topical estrogen is a way to bring back the estrogen’s decreased levels in the vulvar and vaginal skin. This is inserted inside or applied directly. Common brands are Premarin, Ogen, Estrace and Dienesterol.

To avoid pain and discomfort, use a lubricant such as vegetable oil during intercourse and place an amount of estrogen using a topical cream on vaginal applicator. This will make insertion easier. Vaginal applicators are used to insert topical estrogen replacement into the vagina.


Knowing these things about atrophic vaginitis will be able to help women a lot in order to stay away from it and its causes. This is the best way to avoid such health alterations. With enough knowledge, more and more women will be able to stay away from the problems and live a life that is worry free, enjoyable, pain free and healthier.

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