Vaginal atrophy is a condition that causes adverse vaginal and urinary symptoms. The first sign is usually a decrease in vaginal lubrication. Due to a lack of estrogen, the lining of the vagina gets drier and thinner, resulting in symptoms including burning, itching, spotting and pain with sex. Urinary symptoms include frequent urination and urinary tract infections.
When a woman enters menopause, her ovaries produce fewer hormones and monthly periods cease to exist. This typically happens around age 50. Because vaginal atrophy (also known as atrophic vaginitis) is caused by a decrease in the hormone estrogen, it most often occurs during menopause. However, it can also occur in younger women if their estrogen levels are affected.
Vaginal Symptoms of Vaginal Atrophy can Include:
- Dryness of the vagina
- Vaginal itching
- Vaginal burning
- Dyspareunia (pain during sex)
- A discharge from the vagina – usually a yellow color
- Spotting or bleeding
- Vulvar itching (pruritus)
- Feeling of pressure
Urinary Symptoms can Include:
- Urinating more frequently
- Having pain when going to the bathroom
- Urinary tract infections (UTIs)
- Stress incontinence
- Painful urination (dysuria)
- Blood in the urine (hematuria)
- Burning during urination
Who is at Risk?
- Women who are in menopause and are 50 years of age and older
- Lack of sexual intercourse
- Immune disorders
- Decreased ovarian function due to radiation or chemotherapy
- Breastfeeding
- Postpartum loss of placental estrogen
- Removal of the ovaries
- Nonfluctuating estrogen levels
- Medications that contain antiestrogen properties including Tamoxifen (Nolvadex), Medroxyprogesterone (Provera) and Nafarelin (Synarel)
- Smoking
Vaginal Atrophy or Yeast Infection?
Atrophic vaginitis and yeast infections can have similar symptoms such as vaginal itching, redness, pain and dryness. However, a yeast infection is caused by a fungal infection while vaginal atrophy is caused by a lack of estrogen.
If you have these symptoms, consult with your doctor so he or she can provide you with a proper diagnosis.
We Can Help
If you have concerns about vaginal atrophy, our board-certified OB/GYNs can help. Call us today at 770.720.7733 or schedule an appointment online.
