Atrophic vaginitis

Question 1

What is it?

Answer 1

Due to decreased oestrogen levels leading to dry vagina and increased risk of infection

Question 2

What are symptoms?

Answer 2

Vaginal dryness, itching/burning
Painful intercourse
Occasional Spotting
Urinary symptoms such as frequency or urgency

Question 3

What is found on examination

Answer 3

Pale, dry and atrophic vaginal mucosa
May have petechiae or ulceration

Question 4

What is the management?

Answer 4

1st line
- vaginal moisturisers or lubricants
2nd line
- oestrogen therapy e.g. cream or ring