This problem happens when there is a lack of estrogen in the body. This hormone helps keep the skin of the vagina healthy and moist.
Low estrogen levels are common after
menopause. A woman’s ovaries make the hormone until menopause, which happens at about 52 years of age. After menopause, the vaginal walls become thin and less moist.
Other things that may lower estrogen and raise the risk of this problem are:
You will be asked about your symptoms and health history. A physical exam will be done. A pelvic exam may also be done. This is often enough to make the diagnosis. Vaginal fluids may be tested to confirm it.
The goal of treatment is to ease symptoms. This can be done with:
Vaginal moisturizers or lubricants
Estrogen therapy, such as pills, creams, suppositories, or rings
Selective estrogen-receptor modulators (SERMs)
Regular sexual activity can also promote vaginal health by improving blood flow.
There are no known methods to prevent this health problem.
American College of Obstetricians and Gynecologists (ACOG). Practice Bulletin No. 141: management of menopausal symptoms. Obstet Gynecol. 2014 Jan;123(1):202-16, correction can be found in Obstet Gynecol. 2016 Jan;127(1):166.
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