Atrophic Vaginitis

Question 1

Atrophic vaginitis

Answer 1

common condition seen in women with falling oestrogen levels
commonly seen post-menopause

Question 2

Conditions contributing to atrophic vaginitis

Answer 2

• premature ovarian failure
• ovarian failure post-cancer treatment
• anti-oestrogenic medicines (e.g. tamoxifen)
• post-partum hormonal changes

Question 3

Pathophysiology of atrophic vaginitis

Answer 3

Reduced oestrogen levels

Question 4

Clinical features of atrophic vaginitis

Answer 4

Symptoms:
- dryness
- local irritation
- dysparneunia
- post-coital bleeding

Question 5

Managing atrophic vaginitis

Answer 5

1. lubricants and moisturisers
2. oestrogen replacement (topical creams, rings, pessaries or systemic HRT)