Unfortunately, the symptoms of such a disease as atrophic vaginitis are well known to many older women. Its development is due to the impending in the body of women after the onset of menopause deficiency of estrogens (female sex hormones.
Atrophic vaginitis is observed in almost 75% of women in the menopause period.
Causes of development of atrophic vaginitis.
Estrogens improve the vaginal circulation, maintain the acidic environment necessary for the life of the Doderylein sticks – useful bacteria that suppress the reproduction of pathogenic microflora.
With menopause, the production of estrogen in the body of a woman is sharply reduced. As a result, the epithelium of the vagina becomes thinner, the vaginal folds become smoother, and the lumen of the vagina decreases. These atrophic changes create conditions for exacerbation of chronic vaginitis.
The main symptoms of atrophic vaginitis.
Very rarely, atrophic vaginitis is completely asymptomatic. But most often women complain of a feeling of dryness in the vagina and an itch of varying severity. Inside the genitals there is often a burning sensation, and the walls of the vagina drop. Women often experience frequent urge to urinate.
With atrophic vaginitis, there is an increase in the fragility of the blood capillaries of the vaginal mucosa. Therefore, when performing gynecological examination or sexual contact, bleeding often occurs. In neglected cases, spotting from the vagina appears quite regularly.
In the pubic region and large labia, hair loss is noted, up to complete alopecia of this area.
Diagnosis of atrophic vaginitis.
If there is a suspicion of atrophic vaginitis, a gynecological examination is performed in the mirrors of the vagina and cervix. Be sure to take a swab from the cervical canal of the cervix for a cytological study, which allows you to exclude a possible oncological pathology. From the vagina, a smear is taken for bacteriological analysis.
Before appointing the treatment of atrophic vaginitis, the gynecologist necessarily conducts a colposcopic examination, which allows in detail and in all details to examine the walls of the vagina and the cervix.
Atrophic vaginitis: treatment.
Therapy of atrophic vaginitis is primarily aimed at replenishing the lack of estrogen in the body of a woman. For this purpose, hormone replacement therapy is prescribed, the program of which is selected by a gynecologist-endocrinologist. Usually a woman is prescribed estrogen preparations in tablets. The substitution hormonal therapy of atrophic vaginitis allows not only to save women from unpleasant sensations, but also prevents the development of such a serious disease as osteoporosis.
In some cases, the treatment of atrophic vaginitis is the local use of suppositories or ointments containing synthetic estrogen analogues. At the same time, rapid elimination of the symptoms of the disease is achieved, while hormonal drugs do not exert their systemic effect on the woman’s body.
In the treatment of atrophic vaginitis, antibiotics are never used; In the development of this disease, the infectious component has no decisive role.
In addition to hormonal therapy in the treatment of atrophic vaginitis, methods of physiotherapy are widely used. Also used are multivitamin preparations, used as a general restorative.