Atrophic Vaginitis

Question 1

what is atrophic vaginitis?

Answer 1

atrophy of vaginal epithelium due to diminished estrogen levels

Question 2

who does atrophic vaginitis affect?

Answer 2

1. postmenopausal (MC)
2. postpartum
3. postpartum lactation
4. POP contraceptives
5. prepubertal

Question 3

what are symptoms of atrophic vaginitis?

Answer 3

1. dryness
2. dyspareunia
3. bleeding
4. itching
5. burning
6. urinary symptoms

Question 4

What are the signs of atrophic vaginitis

Answer 4

1. Vaginal epithelium is thin
2. loss of elasticity
3. Pale
4. Loss of rugae
5. Vaginal pH 4.7 or greater

Question 5

what is the treatment for atrophic vaginitis? (To

Answer 5

1. topical estrogen therapy
   *premarin/estrace cream
   *ring
   *vaginal tablets)
2. oral estrogen therapy (be aware in unopposed in hysterectomized women)
3. water-based moisturizing preparations
4. monalisa touch: CO2 laser (improves collagen)

Question 6

what does estrogen do for atrophic vaginitis?

Answer 6

1. Reverses vaginal atrophy
2. Promotes growth and maturation of vaginal cells
3. Enhances blood flow in vaginal tissue
4. Decreases pH
5. Increases vaginal moisture