Atrophic Vaginitis

Question 1

What is atrophic vaginitis?

Answer 1

Dryness and atrophy of the vaginal mucosa due to a lack of oestrogen

Question 2

Why does atrophic vaginitis occur?

Answer 2

During menopause, a reduction in oestrogen causes the vaginal mucosa to become thinner, less elastic and drier - this tissue is more prone to inflammation

Question 3

In what age does atrophic vaginitis occur?

Answer 3

Women entering the menopause

Question 4

What is the presentation of atrophic vaginitis?

Answer 4

Vaginal dryness
Itching
Dyspareunia
Bleeding
Frequent UTIs
Stress incontinence

Question 5

What will be seen on vaginal examination in a woman with atrophic vaginitis?

Answer 5

Pale mucosa
Thin skin
Reduced skin folds
Erythema and inflammation
Dryness

Question 6

What is the management of atrophic vaginitis?

Answer 6

Lubricants and topical oestrogen

Question 7

What forms does topical oestrogen come in?

Answer 7

Pessary
Cream
Tablets
Ring

Question 8

What is the most common cause of post-menopausal bleeding?

Answer 8

Vaginal atrophy