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Doctor insights on: Atrophic Vaginitis

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Dr. Robert Isaacs
49 Doctors shared insights

Atrophic Vaginitis (Overview)

The vaginal mucosa is sensitive to estrogen, so when estrogen levels drop after menopause the tissue thins out, becoming more fragile, sensitive, and dry. This symptomatic vaginal atrophy is referred to as atrophic vaginitis although it is not really an infection.


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How long does it take atrophic vaginitis to clear up?

How long does it take atrophic vaginitis to clear up?

1-2 weeks: When the estrogen is given directly into the vagina (as a cream, tablet or ring) then it is quite rapid the turnaround in symptoms. The actual vagina skin does not make its full recovery until around 2 wks of use. Using oral estrogen sometimes takes a long time, much longer by weeks even months to rebuild the vaginal tissue. ...Read more

Dr. Robert Isaacs
49 Doctors shared insights

Atrophic Vaginitis (Overview)

The vaginal mucosa is sensitive to estrogen, so when estrogen levels drop after menopause the tissue thins out, becoming more fragile, sensitive, and dry. This symptomatic vaginal atrophy is referred to as atrophic vaginitis although it is not really an infection.


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I want to know my options for treating atrophic vaginitis?

I want to know my options for treating atrophic vaginitis?

See below: Estrogen vaginal cream is the main choice of treatment options. Other options include replens, dong quai, black cohosh, phytoestrogen (soybean, flaxseed, alfafla sprout and red clover), lubriant (just for intercourse) and moisturizer (especially with natural aloe vera). ...Read more

Dr. Michael Hulse Dr. Hulse
1 other doctor agreed
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Atrophic vaginitis (Tip)

Douching can increase your risk of vaginitis. ...See more

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Treating Vaginitis (Checklist)

Use condoms
Once
Cut down on sugary foods
Once
Exercise daily
Once
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My mother was diagnosed with atrophic vaginitis. How will this affect her?

My mother was diagnosed with atrophic vaginitis. How will this affect her?

Vaginal estrogen: This can effect her in several ways. Atrophic vagina is caused by lack of estrogen stimulation of the walls of the vagina. This leads to thinning of the walls, vaginal dryness, pain with intercourse ("feels like sadpaper" and decreased diameter of the vagina. Without estrogen replacement vaginally as well regular vaginal penetration, the vagina will eventually become so small to inhibit sex. ...Read more

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Just got a clean bill of health from my doctor :) but he said I need to take precautions to avoid getting atrophic vaginitis. What can I do?

Just got a clean bill of health from my doctor :) but he said I need to take precautions to avoid getting atrophic vaginitis. What can I do?

Local estrogen: Depending on your age and past history, a very small amount of local estrogen cream in your vagina once a week should easily prevent atrophic vaginitis. Ask your gynecologist. ...Read more

Dr. Michael Hulse Dr. Hulse
1 other doctor agreed
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Atrophic vaginitis (Tip)

Ask your doctor about vaginitis symptoms before you have tried treating on your own. ...See more

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Maintaining Vaginal Health (Checklist)

Wear clean, dry, breathable underwear
Once
Shower daily
daily
Do not wear a wet bathing suit after swimming for an extended period
Once
Maintain good nutrition to ensure good pH balance
Once
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How common is atrophic vaginitis in 42 year old?

How common is atrophic vaginitis in 42 year old?

Not very: Atrophic vaginitis typically presents after menopause. While menopause can occur any time after the age of 40, most women will not experience menopause (or atrophic vaginitis) until after the age of 50 or 52. When it does occur, it is quite treatable with estrogen replacement. ...Read more

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How long does it take atrophic vaginitis to clear up?

1-2 weeks: When the estrogen is given directly into the vagina (as a cream, tablet or ring) then it is quite rapid the turnaround in symptoms. The actual vagina skin does not make its full recovery until around 2 wks of use. Using oral estrogen sometimes takes a long time, much longer by weeks even months to rebuild the vaginal tissue. ...Read more

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Atrophic vaginitis (Tip)

When dealing with vaginitis or any vaginal discharge, douching may make it worse. Do not douche! ...See more

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Treating an Ear Infection (Checklist)

Look for other sources of ear pain besides infection
Once
Ask your doctor about TMJ (spasm of muscles to jaw joint), as it could cause ear pain
Once
Look for ear pain or ear drainage, as they are both signs of infection
Once
See a doctor if you think you have an ear infection
Once
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I want to know my options for treating atrophic vaginitis?

See below: Estrogen vaginal cream is the main choice of treatment options. Other options include replens, dong quai, black cohosh, phytoestrogen (soybean, flaxseed, alfafla sprout and red clover), lubriant (just for intercourse) and moisturizer (especially with natural aloe vera). ...Read more

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What is the definition or description of: atrophic vaginitis?

A menopause problem: The vaginal mucosa is sensitive to estrogen, so when estrogen levels drop after menopause the tissue thins out, becoming more fragile, sensitive, and dry. This symptomatic vaginal atrophy is referred to as atrophic vaginitis although it is not really an infection. ...Read more

Dr. Michael Hulse Dr. Hulse
1 other doctor agreed
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Atrophic vaginitis (Tip)

Most doctors recommend that you do not treat vaginal symptoms yourself. ...See more

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Treating Clostridium Difficile Infection (Checklist)

Minimize use of broad spectrum antibiotics, as clostridium difficile infection is a common complication
Once
Stay out of hospitals as much as possible
Once
Use probiotics to outcompete the clostridium difficile bacteria
Once
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I've heard different things. What exactly is atrophic vaginitis?

I've heard different things. What exactly is atrophic vaginitis?

Inflammation: Atrophic vaginitis happens when the vaginal tissue becomes irritated and inflamed due to the thinning of the tissue that happens after menopause. It usually causes burning, and/or itching and a discharge. ...Read more

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Is it unusual for a 42 year old (non perimenaposal) to develop atrophic vaginitis?

Yes and no: Atrophic vaginitis is, basically, a lack of estrogen to the vaginal lining or epithelium. And lack of estrogen means your ovaries aren't producing enough estrogen. If you are having regular menstrual cycles, then your ovaries are still functioning. I'm assuming a doctor told you this? If that's the case, then local estrogen to the vagina is a simple solution. Hope that helped answer question! ...Read more

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Atrophic vaginitis (Tip)

Don't douche. It can wash the infection up into the uterus and increases the risk of tubal pregnancy. ...See more

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Treating a Kidney Infection (Checklist)

Call your doctor if you have a fever or back pain
Once
Begin your antibiotic immediately and complete the entire course
Once
Drink plenty of fluids to stay well hydrated and to help flush the infection
Daily
Get plenty of rest and sleep to help your body fight the infection
Once
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Is a clear, whitish or yellowish discharge typical of atrophic vaginitis?

Atrophic vaginitis: Atrophic vaginitis may be accompanied by some discharge (not usually assocated with odor or much itching, as seen with infection). The hallmark is vaginal dryness and painful coitus associated with menopause. The best management is estrogen, administered topically or systemically. Lubricants and moisturizers made for vaginal use are also available without prescription. ...Read more

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My mother was diagnosed with atrophic vaginitis. How will this affect her?

Vaginal estrogen: This can effect her in several ways. Atrophic vagina is caused by lack of estrogen stimulation of the walls of the vagina. This leads to thinning of the walls, vaginal dryness, pain with intercourse ("feels like sadpaper" and decreased diameter of the vagina. Without estrogen replacement vaginally as well regular vaginal penetration, the vagina will eventually become so small to inhibit sex. ...Read more

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Atrophic vaginitis (Tip)

Neutrogena glycerine face soap is the best soap for the vulva to avoid irritation. ...See more

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Treating Eye Infections (Checklist)

Throw away any used contact lenses
Once
Do not occlude or cover your eyes
Once
If you have pink eye, wash face towels separately with hot water
Once
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Just got a clean bill of health from my doctor :) but he said I need to take precautions to avoid getting atrophic vaginitis. What can I do?

Local estrogen: Depending on your age and past history, a very small amount of local estrogen cream in your vagina once a week should easily prevent atrophic vaginitis. Ask your gynecologist. ...Read more

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Is atrophic vaginitis discharge usually white? Can it come and go or is it continuous? Will a vag moist get rid of it or do you have to use estrogen?

Is atrophic vaginitis discharge usually white? Can it come and go or is it continuous? Will a vag moist get rid of it or do you have to use estrogen?

Usually no discharge: Vaginal atrophy is usually associated with dryness and inflammation rather than discharge.
Moisturizer is a good start, vaginal and systemic estrogen will help, and there is new laser therapy for atrophic vaginitis as well ...Read more

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Atrophic vaginitis (Tip)

Douching increases the risk of vaginal infections. Just bathing is adequate for hygiene. ...See more

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Treating a Bladder Infection (Checklist)

Ask your doctor about taking an antibiotic
Once
Drink plenty of fluids to help dilute the urine and flush the bladder
Daily
Avoid irritating fluids and food, such as caffeine, citrus, alcohol, and spicy foods
Daily
Take an over-the-counter urinary analgesic for pain and to soothe the bladder
Daily
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Been to emergency room 4 times over the past year for atrophic vaginitis. Now, noticed pea size mass at seven o'clock on entrance to vagina.

Atrophic vaginitis: An er is not a good place to be getting care for your condition. You should make an appointment with your doctor. ...Read more

Dr. Asha Kamnani
58 Doctors shared insights

Vaginal Atrophy (Definition)

Vaginal atrophy is thining of the vaginal tissue due to a decrease in estrogen levels seen mostly in postmenopausal women. There is also decreased moisture and discharge and decreased elasticity of the vaginal tissue. Sometimes it can cause pain with ...Read more


Dr. Kevin Fleishman
608 Doctors shared insights

Vaginitis (Definition)

An inflammation of the vagina that can result in discharge, itching, and pain. The cause is usually a change in the normal balance of vaginal bacteria or an infection. Reduced estrogen levels after menopause and some skin disorders ...Read more