Surveys have shown that 45% to 63% of postmenopausal women have experienced vulvovaginal symptoms, most commonly vaginal dryness. But do not self diagnose, get medical help if you're worried. In nonmenopausal women, production of ovarian estrogen can be interrupted by radiation therapy, chemotherapy, immunologic disorders and oophorectomy. Alerts and Notices Synopsis Genital Vaginal atrophy is also known as atrophic vaginitis, urogenital atrophy, and vulvovaginal atrophy. Vaginitis can also be caused by irritation (for example, from soap), an injury to your vagina or something in your vagina (like a tampon). [Sponsored content] Related information . wash around your vagina with water and dry thoroughly, use pads instead of tampons when you're on your period, use condoms and lubrication when having sex, do not clean inside your vagina (douching), do not use scented hygiene products in or around your vagina, such as soaps and deodorants, Page last reviewed: 3 February 2020 1 Relative atrophy can also develop postpartum with lactation and with the use of some birth control pills. 3. Symptoms may include itching, burning, pain, discharge, and a bad smell. It can also occur in premenopausal women who have low systemic estrogen levels caused by a postpartum state, lactation, or antiestrogenic drugs. atrophic vaginitis or vulvovaginal atrophy (VVA). The condition is commonest between the ages of 3 to 10 years. In the acute form there is a sudden onset of an erythematous swollen painful vulva and vagina with a thin mucoid discharge. Dermatology Made Easy Book. VAGINITIS. Diagnosis of genitourinary syndrome of menopause (GSM) may involve: 1. Atrophic vaginitis is the thinning and inflammation of vaginal tissues due to a drop in estrogen levels. To find out what's causing your vaginitis, a doctor or nurse may: You can ask the doctor or nurse to stop at any point if you find it too uncomfortable. Sexual health clinics treat problems with the genitals and urine system. It can also happen to women who breastfeed, take breast cancer medications or have recurrence risk-reducing intervention such as the removal of both ovaries. See smartphone apps to check your skin. During perimenopause, less estrogen may cause the tissues of the vulva and the lining of the vagina to become thinner, drier, and less elastic or flexible—a condition known as "vulvovaginal atrophy" (see figure). Breaking the Stigma® and Dismantling Stigma by Reclaiming STI Narratives® are registered trademarks of The STI Project & Jenelle Marie Pierce. Treatment for vaginitis depends on the cause. Herpes simplex, urinary tract infection (UTI), vulval vestibulitis. Vaginal atrophy is better known as genitourinary syndrome of menopause (GSM). The doctor or nurse will gently put a smooth, tube-shaped tool (speculum) into your vagina to hold it open so they can see inside. 1. Radiotherapy or chemotherapy. Plus, because the vaginal tissues are dry, they may tear and cause injury, pain (a condition called dyspareunia), and even bleeding, especially during sexual intercourse. Pubic lice, threadworm, scabies. If the patient is experiencing systemic symptoms, hormone replacement therapy is required. There are things you can do to ease symptoms of vaginitis and reduce your chances of getting it again. A small cotton bud (swab) may be wiped inside your vagina to check for infections. Discharge, burning, and pruritus are the most common symptoms, accompanied by signs of vulvar irritation, such as erythema and excoriation of the vulvar skin. 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