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Vaginal atrophy مرض (Vaginal atrophyIt is the thinning of the vaginal walls caused by low estrogen levels, often after menopause. these ladies They have a higher chance of developing chronic vaginal infections and urinary problems, as well as pain associated with intercourse.


What is vaginal atrophy?

Vaginal atrophy (atrophic vaginitis) is inflammation associated with thinning and dryness of the vaginal walls due to a lack of estrogen in the body, which often occurs after menopause.

For many women, vaginal dryness not only causes pain during intercourse, but also leads to urinary tract pain due to infections.

Scientific name of the disease Vaginal atrophy
Other names Genitourinary menopausal syndrome (GSM), atrophic vaginitis, vulvovaginal atrophy, urogenital atrophy.
disease classification Gynecology
Medical specialty Gynecologist
Symptoms of the disease
  • Dryness and inflammation of the vagina.
  • Urinary tract infection.
  • Pain during intercourse.
degree of disease spread common
Medications
  • topical estrogen
  • Vaginal moisturizers.
  • lubricants.

It is estimated that 10 to 40 percent of postmenopausal women have symptoms of atrophic vaginitis. Despite the prevalence of symptoms, only 20 to 25 percent of women with symptoms seek medical attention.


Causes of atrophic vaginitis

Atrophic vaginitis
Causes of vaginal dryness

The causes of vaginal dryness are due to a decrease in the production of the hormone estrogen. A decrease in the levels of this hormone may occur as a result of:


Factors that increase the risk of developing vaginal atrophy

Several factors may contribute to atrophic vaginitis, including:

  • smoking:
    Smoking reduces the flow of blood and oxygen to the vagina, in addition to reducing the effects of natural estrogen in the body.
  • Caesarean delivery:
    Researchers have confirmed that women who underwent a cesarean delivery are more likely to develop vaginal atrophy compared to women who underwent a vaginal delivery.
  • Lack of sexual activity: Sexual activity increases blood flow and makes vaginal tissues more flexible.

Read also: Travelers’ diarrhea; Here are the main causes and how to treat


Signs and symptoms of vaginal atrophy

Vaginal dryness
Vaginal discharge and vaginal atrophy

Signs of vaginal atrophy may include:

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Vaginal atrophy complications

Genitourinary menopausal syndrome increases the risk of:

  • Vaginal infections:
    Changing the acidity level of the vagina increases the incidence of vaginal infections.
  • Urinary tract changes:
    GSM can contribute to urinary tract problems. You may experience urgency to urinate or a burning sensation while urinating. While some women have more urinary tract infections or urine leakage (incontinence).

How is vaginal atrophy diagnosed?

A diagnosis of genitourinary menopausal syndrome (GSM) may include:

  • urine test.
  • Vaginal acidity test.
  • Pelvic examination:
    Where your doctor feels the pelvic organs and examines the external genitalia, vagina and cervix.

Vaginal atrophy treatment

Vulvar atrophy treatment
Using lubricants to treat vulvar atrophy

To treat vulval atrophy, your doctor may first recommend over-the-counter treatment options, including:

  • Vaginal moisturizers.
  • Use of lubricants.
  • Choose products that do not contain glycerin, as it may cause allergic reactions in some women.
  • Avoid Vaseline or other petroleum-based lubricants if you’re also using a condom, because petroleum can break down latex condoms on contact.

If these treatments don’t relieve your symptoms, your doctor may recommend:

  • topical estrogen
    It comes in several forms, including vaginal estrogen cream (Estris, Premarin). You can insert this cream directly into the vagina with an applicator, usually at bedtime.
  • Vaginal dilators:
    These devices work to stretch and stimulate the muscles of the vagina; To reverse the narrowing of the vagina and relieve pain associated with intercourse.
  • Prosterone suppositories (Intrarosa):
    These vaginal suppositories deliver DHEA directly into the vagina to help relieve the pain of intercourse. DHEA is a hormone that helps the body produce other hormones, including estrogen.
  • drug use Topical lidocaine:
    To reduce pain related to sexual activity, anesthetic is used five to 10 minutes before sexual activity begins.

Read also: Travelers’ diarrhea; Here are the main causes and how to treat.


When should you get emergency medical help?

You should go to the doctor immediately if you suffer from:

  • Vaginal bleeding.
  • Vaginal secretions.
  • Pain during intercourse.
  • Burning sensation during urination.
  • Inflammation and itching in the vagina.

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How to prevent vaginal atrophy


Frequently asked questions about vaginal atrophy

كيف يمكنني زيادة هرمون الاستروجين لدي بشكل طبيعي؟

  1. تناول الأطعمة الأطعمة الغنية بفيتوستروجين الموجود في النباتات والأطعمة النباتية ،
  2. فيتامينات ب.
  3. فيتامين د.
  4. زيت زهرة الربيع المسائية.

هل القهوة عالية الإستروجين؟

جد أن النساء السود اللائي يستهلكن 200 ملليجرام أو أكثر من الكافيين يومياً لديهن مستويات مرتفعة من هرمون الاستروجين، تم حساب إجمالي كمية الكافيين المتناولة من أي من المصادر التالية: القهوة ، الشاي الأسود ، الشاي الأخضر ، والصودا المحتوية على الكافيين

ماذا يحدث عندما تبدأ بتناول الإستروجين؟

التغييرات الأولى التي ستلاحظها على الأرجح هي أن بشرتك ستصبح أكثر جفافًا وأرقًا. ستصبح مسامك أصغر وسيقل إنتاج الزيت. قد تصبح أكثر عرضة للكدمات أو الجروح وفي الأسابيع القليلة الأولى ستلاحظ أن روائح العرق والبول ستتغير.

هل الليزر جيد للمهبل؟

أظهرت بعض الدراسات أن الليزر المهبلي يساعد على تكثيف بطانة المهبل الهشة وزيادة الترطيب، مع تحسن في جفاف المهبل والألم وأعراض الجهاز البولي. ومع ذلك، هناك مضاعفات محتملة مثل التندب والعدوى والألم وتغير الإحساس الجنسي.


If you suffer from vaginal dryness, do not hesitate to use over-the-counter vaginal lubricants at first. the vagina.