Atrophic vaginitis (also known as vaginal atrophy or urogenital atrophy) is an inflammation of the vagina (and the outer urinary tract) due to the thinning and shrinking of the tissues, as well as decreased lubrication. These symptoms are due to a lack of the reproductive hormone estrogen.Many women notice changes in their vagina and genital area after the menopause. These changes may include dryness and discomfort during sex.
Hot flushes, sweating and insomnia were significantly more prevalent in the peri and postmenopausal phases. The prevalence of urinary incontinence was 27.4%. Complaints of dyspareunia and vaginal dryness were infrequent. Decreased libido was the most frequent sexual complaint. It was observed that some climacteric complaints were interrelated. The first cluster included hot flushes and sweating (vasomotor cluster). The second cluster included nervousness, depression and irritability (psychological cluster). The third cluster included dizziness and palpitation (atypical cluster).
Estrogen replacement restores normal pH levels and thickens and revascularizes the epithelium.Moisturizers and lubricants may be used in conjunction with estrogen replacement therapy or as alternative treatments. It has been shown to encourage vaginal elasticity and pliability, and the lubricative response to sexual stimulation. Vaginal atrophy need not be an inevitable consequence of menopause or other events that result in long-term estrogen loss.