Signs that the vagina is atrophied

Vaginal atrophy is a condition that causes a lot of inconvenience and discomfort for sufferer, affecting the quality of life. So what are the signs that vaginal atrophy is taking place?

1. What is vaginal atrophy?

Vaginal atrophy is a condition in which the vaginal formations thin, dry and inflamed, which occurs when the body is deficient in estrogen. Vaginal atrophy most often occurs after menopause.

For many women, vaginal atrophy not only causes pain during sex, but also causes unpleasant urinary symptoms. Therefore, doctors rarely refer exclusively to vaginal atrophy, but use the term genitourinary syndrome of menopause (GSM) to describe vaginal atrophy and accompanying symptoms (because vaginal atrophy affects both the vagina and urinary tract).

Menopause urogenital syndrome can be treated with simple, effective methods. A drop in estrogen levels leads to many changes in the body, but that does not mean that it will have to live with the discomfort caused by menopause urogenital syndrome.

2. Signs and symptoms of vaginal atrophy as well as menopause urogenital syndrome

Signs and symptoms of vaginal atrophy as well as menopause urogenital syndrome can be:

  • Vaginal dryness.
  • Vagina burns.
  • Abnormal vaginal secrety.
  • Itching of the genitals.
  • Burns when urinating.
  • Urination, the feeling of needing to urinate immediately.
  • Urinate several times.
  • Recurrent urinary tract infections.
  • Urination is out of control.
  • Mild bleeding after sex.
  • Unpleasant sensations during sex.
  • The vagina decreases secretion when there are sexual acts.
  • The vagina becomes short and narrow.


Vaginal dryness is one of the symptoms of vaginal atrophy

3. Causes of menopause urogenital syndrome

Menopause urogenital syndrome stems from a decrease in estrogenic hormone secretion. Low estrogen levels lead to vaginal tissues becoming thinner, drier, less elastic and vulnerable.

A decrease in estrogen levels may occur:

  • After menopause.
  • In the pre-menopause.
  • After surgery remove both ovaries.
  • During breastfeeding.
  • During the use of drugs that affect estrogen levels, such as contraceptive pills.
  • After radiotherapy for pelvic cancer.
  • After chemotherapy treatment.
  • Is an undesirable effect of the treatment of breast cancer with hormones.

Signs and symptoms of kin h menopause urogenitalsyndrome may appear as early as pre-menopause or may be years after the arrival of menopause. Although it is a common condition, not all meninged women experience menopause urogenital syndrome. Common sexual behaviors (with a sexual contact or masturbation) can help keep vaginal tissues healthy.

4. Risk factors for menopause urogenital syndrome


Smoking can increase the likelihood of menopause urogenital syndrome

Certain factors may increase the likelihood of menopause urogenital syndrome, such as:

  • Smoking:smoking can affect blood circulation, and can cause a decrease in blood and oxygen flow to the vagina and surrounding areas. Smoking also reduces the effect of endogenous estrogen of the body.
  • Never given birth vaginally: researchers have observed that women who have never given birth vaginally are more likely to experience symptoms of meningausal urogenital syndrome than women who have given birth vaginally.
  • No sex : sexualacts, whether with a sexual companion or masturbation, increase the amount of blood coming in and make the vaginal tissues more elastic.

5. When to see a doctor?

Many meningausal women have menopause urogenital syndrome but there are quite a few who go to the doctor for examination and treatment, because they are afraid to describe to the doctor what is going on, and therefore quietly tolerate the manifestations of menopause urogenital syndrome.

See your doctor if your vagina appears bleeding or bleeding unexplained, abnormal discharge, pain or burning.

If having pain during sex and taking vaginal moisturizers (such as K-Y Liquibeads, Replens, Sliquid,…) or water-based lubricants (such as Astroglide, K-Y Jelly, Sliquid,…) still does not solve the problem, see a doctor.

6. Diagnosis of menopause urogenital syndrome

To diagnose menopause urogenital syndrome the doctor may need:

  • Vaginal examination.
  • Urine test: when the patient appears symptoms of the urinary system.
  • Acid balance test: by sampling a test vaginal translation or using a directive to scan the vagina to see the acid balance of the vagina.

7. Treatment of menopause urogenital syndrome


Products with vaginal moisturizing effects can be used to restore vaginal moisture

To treat menopause urogenital syndrome your doctor may first recommend over-the-counter methods, such as:

  • Vaginal moisturizing: by products such as K-Y Liquibeads, Replens, Sliquid,… to help restore moisture to the vagina, and often this method has a longer effect than the use of vaginal lubricants.
  • Vaginal lubricants: with products such as Astroglide, K-Y Jelly, Sliquid,… used immediately before sex, which helps to relieve discomfort during sex. Choose products that do not contain glycerin or warming ingredients because they are easily irritated. Avoid oil-based lubricants if sex uses condoms, as oil-based lubricants can damage condoms.

If the above options do not work, the doctor may prescribe:

  • Top-site estrogen:vaginal estrogen has the advantage of being effective at lower doses and limiting the effects on the whole body, while also having a better effect on symptoms than oral estrogens. Vaginal estrogens have a lot of different types with similar effects:
    • Vaginal estrogen cream (Estrace, Premarin).
    • Vaginal estrogen bullet (Imvexxy).
    • Vaginal estrogen ring (Estring, Femring).
    • Vaginal estrogen tablets (Vagifem).
  • Ospemifene (Osphena): Daily drinking can help alleviate pain symptoms during sex with patients with medium and severe menopause urogenital syndrome. The drug is contrained for patients who are having breast cancer or at risk of developing breast cancer.
  • Prasterone (Intrarosa): this vaginal insertion drug that inserts the hormones DHEA directly into the vagina helps relieve pain during sex. DHEA is a hormone that helps the body produce other hormones including estrogen.
  • Body estrogen therapy :If the vagina is dry accompanied by other pre-menopause symptoms, the doctor may prescribe oral use of estrogen.
  • Vaginal dilated instruments: this instrument stimulates and relaxes muscles in the vagina, helping to restore vaginal stenosis.
  • Top-site lidocaine: in the form of fat or gel to prescribe, which helps to mitigate the discomfort during sex, use before starting from 5 to 10 minutes.

8. Prevention of menopause urogenital syndrome

Common sexual behaviors, with a sexual girlfriend or masturbation, can help prevent menopause urogenital syndrome. Sexual activities increase blood flow to the vagina, helping to keep vaginal tissues healthy.

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Article reference source:


  • Signs of bacterial vamatitis
  • Vaginal atrophy occurs most often after menopause
  • The link between vaginal atrophy and estrogen depletion

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


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