Authors: Brown, Candace; Bachman, Gloria

Source: Women's Health, Volume 1, Number 2, September 2005 , pp. 279-292(14)

Publisher: Future Medicine

Abstract:

Urogenital atrophy, although a frequently occurring symptom of aging for all women, is a condition often not thought of as a symptom of distress for older women or a sign of pelvic pathology requiring treatment by clinicians. Rather, many clinicians feel it is an expected consequence of aging, and older women themselves assimilate their lifestyle to the uncomfortable symptoms of dryness, irritation, itching and malodorous discharge. At times, when symptoms become intolerable with coitus, women will abandon sexual intercourse with their partners due to dyspareunia and not seek intervention to reverse the condition owing to embarrassment in raising this sensitive topic. When urogenital atrophy is diagnosed and the patient requests treatment, the gold standard intervention is estrogen, which can either be delivered systemically or vaginally. Since the Women’s Health Initiative data, low-dose, vaginally delivered estrogen is recommended.

Keywords: atrophic vaginitis; dyspareunia; hypoestrogenic tissue; nonhormonal lubricants; urogenital atrophy; vaginal estrogen

Document Type: Research article

DOI: http://dx.doi.org/10.2217/17455057.1.2.279

Affiliations: 1: 1University of Tennesse Health Science Center, Memphis, Tennessee, USA., Email: csbrown@utmem.edu

Publication date: 2005-09-01

More about this publication?

• Women's Healthprovides a forum for specialists addressing those conditions that are unique to women or far more prevalent in women than in men. The journal focuses on current and emerging topics relating to the safe and effective management of therapy in women, taking into account issues such as key areas such as women's physiology and life-cycle hormonal changes, with all articles subject to rigorous peer review.
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