Atrophic Vaginitis
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Atrophic vaginitis 1 Atrophic vaginitis Atrophic vaginitis Classification and external resources ICD-10 N95.2 [1] ICD-9 627.3 [2] DiseasesDB 32516 [3] MedlinePlus 000892 [4] MeSH D059268 [5] Atrophic vaginitis (also known as vaginal atrophy or urogenital atrophy) is an inflammation of the vagina (and the outer urinary tract) due to the thinning and shrinking of the tissues, as well as decreased lubrication. These symptoms are due to a lack of the reproductive hormone estrogen. The most common cause of vaginal atrophy is the decrease in estrogen which happens naturally during perimenopause, and increasingly so in post-menopause. However this condition can sometimes be caused by other circumstances. The symptoms can include vaginal soreness and itching, as well as painful intercourse, and bleeding after sexual intercourse. The shrinkage of the tissues can be extreme enough to make intercourse impossible. Symptoms and signs Genital symptoms include dryness, itching, burning, soreness, pressure, white discharge, malodorous discharge due to infection, painful sexual intercourse, bleeding after intercourse. In addition, sores and cracks may occur spontaneously. Atrophic vaginitis is a cause of Postmenopausal bleeding (PMB). Urinary symptoms include painful urination, blood in the urine, increased frequency of urination, incontinence, and increased likelihood and occurrence of infections. Incidence and causes A large number of postmenopausal women (who are not using topical estrogen) have at least some degree of vaginal atrophy; however, many women do not actively ask that medical attention be paid to this, possibly because it is naturally caused, or because of the taboo that still exists surrounding aging and sexuality. [citation needed] The cause of vaginal atrophy is usually the normal decrease in estrogen as a result of menopause. Other causes of decreased estrogen levels are decreased ovarian functioning due to radiation therapy or chemotherapy, immune disorder, removal of the ovaries, after pregnancy, during lactation, idiopathic, and because of the effects of various medications: (Tamoxifen (Nolvadex), Danazol (Danocrine), Medroxyprogesterone (Provera), Leuprolide (Lupron), Nafarelin (Synarel)).
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Medicine
Transcript of Atrophic Vaginitis
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Atrophic vaginitis 1
Atrophic vaginitis
Atrophic vaginitisClassification and external resources
ICD-10 N95.2 [1]
ICD-9 627.3 [2]
DiseasesDB 32516 [3]
MedlinePlus 000892 [4]
MeSH D059268 [5]
Atrophic vaginitis (also known as vaginal atrophy or urogenital atrophy) is an inflammation of the vagina (andthe outer urinary tract) due to the thinning and shrinking of the tissues, as well as decreased lubrication. Thesesymptoms are due to a lack of the reproductive hormone estrogen.The most common cause of vaginal atrophy is the decrease in estrogen which happens naturally duringperimenopause, and increasingly so in post-menopause. However this condition can sometimes be caused by othercircumstances.The symptoms can include vaginal soreness and itching, as well as painful intercourse, and bleeding after sexualintercourse. The shrinkage of the tissues can be extreme enough to make intercourse impossible.
Symptoms and signsGenital symptoms include dryness, itching, burning, soreness, pressure, white discharge, malodorous discharge dueto infection, painful sexual intercourse, bleeding after intercourse. In addition, sores and cracks may occurspontaneously. Atrophic vaginitis is a cause of Postmenopausal bleeding (PMB).Urinary symptoms include painful urination, blood in the urine, increased frequency of urination, incontinence, andincreased likelihood and occurrence of infections.
Incidence and causesA large number of postmenopausal women (who are not using topical estrogen) have at least some degree of vaginalatrophy; however, many women do not actively ask that medical attention be paid to this, possibly because it isnaturally caused, or because of the taboo that still exists surrounding aging and sexuality.[citation needed]
The cause of vaginal atrophy is usually the normal decrease in estrogen as a result of menopause. Other causes ofdecreased estrogen levels are decreased ovarian functioning due to radiation therapy or chemotherapy, immunedisorder, removal of the ovaries, after pregnancy, during lactation, idiopathic, and because of the effects of variousmedications: (Tamoxifen (Nolvadex), Danazol (Danocrine), Medroxyprogesterone (Provera), Leuprolide (Lupron),Nafarelin (Synarel)).
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Atrophic vaginitis 2
PrognosisProper treatment will usually relieve the symptoms, at least to some extent.
PreventionUse of vaginally administered estrogens (including vaginal tablets or cream) before the condition becomes severe isappropriate. Regular sexual activity may be helpful. A water soluble vaginal lubricant can be helpful in mild cases.Increasingly, vaginally administered estrogens based on low dose of estriol are used to stimulate the vaginalepithelium proliferation.
References[1] http:/ / apps. who. int/ classifications/ icd10/ browse/ 2010/ en#/ N95. 2[2] http:/ / www. icd9data. com/ getICD9Code. ashx?icd9=627. 3[3] http:/ / www. diseasesdatabase. com/ ddb32516. htm[4] http:/ / www. nlm. nih. gov/ medlineplus/ ency/ article/ 000892. htm[5] http:/ / www. nlm. nih. gov/ cgi/ mesh/ 2012/ MB_cgi?field=uid& term=D059268
Bachmann GA, Nevadunsky NS (2000). "Diagnosis and treatment of atrophic vaginitis" (http:/ / www. aafp. org/afp/ 20000515/ 3090. html). Am Fam Physician 61 (10): 30906. PMID 10839558 (http:/ / www. ncbi. nlm. nih.gov/ pubmed/ 10839558).
Feiks A et al. (1991). "The treatment of atrophic colpitis is a reduction of the topical dosis of estrogenspossible?". Gynkologisch-geburtshilfliche Rundschau 31 (2): 268271.
"Vaginal Atrophy (Atrophic vaginitis)" (http:/ / www. intelihealth. com/ IH/ ihtIH/ WSAOL002/ 9339/ 9504.html). Aetna InteliHealth.
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Article Sources and Contributors 3
Article Sources and ContributorsAtrophic vaginitis Source: http://en.wikipedia.org/w/index.php?oldid=591551323 Contributors: AnjaManix, Arcadian, Can't sleep, clown will eat me, Cje, Diptanshu.D, Gardar Rurak, Giuns,Guthrie, Invertzoo, InvictaHOG, Jeremy68, Jidanni, Joshdare, Lyrl, Mikael Hggstrm, Mikaey, Pigman, RDBrown, Rjwilmsi, Scottalter, SeanMon, Skysmith, Thedeadlynightshade, Wayward,Who123, Xezbeth, 15 anonymous edits
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Atrophic vaginitisSymptoms and signs Incidence and causes Prognosis Prevention References
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