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Atrophic vaginitis FAQs
What is atrophic vaginitis?
During menopause, when estrogen levels drop, the lining of the vagina can become thin and dry, and this may lead to inflammation and infections. This condition is known as atrophic vaginitis, which causes vaginal dryness and irritation, as well as pain and discomfort. Atrophic vaginitis can also interfere with sexual intimacy by making intercourse uncomfortable.
How is atrophic vaginitis treated?
Studies have shown that providing women with estrogen during menopause can relieve the uncomfortable symptoms of atrophic vaginitis. Local estrogen therapy treats the symptoms of atrophic vaginitis by delivering estrogen directly to the vagina where it is needed. Women usually experience relief from symptoms within a few weeks of starting therapy, although it may take longer for more severe cases.
Why am I experiencing vaginal dryness?
Before a woman reaches menopause, which occurs for most women around age 51, her ovaries produce estrogen. One of the effects of estrogen is to maintain the thickness of the vaginal lining and stimulate vaginal secretions. At menopause the ovaries stop making estrogen. A decrease in estrogen levels results in a thinning of the walls of the vagina and a decrease in vaginal lubrication. These changes cause the symptoms of atrophic vaginitis.
Besides menopause, are there other causes of vaginal dryness and pain?
Vaginal dryness and pain can have many causes, including infections, skin conditions, and allergic reactions. It is important to discuss persistent, uncomfortable symptoms with your health care provider.
How common is vaginal dryness and pain associated with menopause?
Atrophic vaginitis is very common in women experiencing menopause. As many as 75% of postmenopausal women have one or more symptoms of atrophic vaginitis.
What can I do to lessen my vaginal symptoms?
Certain lifestyle changes may ease the symptoms of atrophic vaginitis. These include remaining sexually active, using a vaginal lubricant, and drinking plenty of fluids each day.

