Vaginal Atrophy

Vaginal atrophy is a common condition where the vaginal walls become thinner, drier, and less elastic due to a drop in oestrogen levels. It often occurs during or after menopause but can also affect younger women due to breastfeeding, cancer treatments, or surgeries that reduce oestrogen.

Common symptoms

• Vaginal dryness (persistent or severe).
• Itching, burning, or irritation in the genital area.
• Pain during sex (dyspareunia).
• Light bleeding after intercourse.
• Urinary issues: Frequent urination, burning when peeing, or recurrent UTIs.
• Tightness or shortening of the vagina.

Why does it happen?

Oestrogen keeps vaginal tissue healthy, moist, and flexible. When oestrogen levels drop (e.g., menopause, childbirth, certain medications), the vagina loses moisture and elasticity.

When to see a Doctor

• When symptoms disrupt your daily life or intimacy.
• When you experience unusual bleeding or pain.
• When over-the-counter treatments (e.g., lubricants) don’t help.

Treatment Options

• Topical Oestrogen Therapy (applied directly to the vagina):
  
  • Creams (e.g., oestradiol).
  • Vaginal tablets or rings.
  • Low-dose oestrogen, minimal absorption into bloodstream.
• Non-Hormonal Moisturizers:
  
  • Hyaluronic acid gels like Revaree
  • Regular use (2–3 times weekly) for long-term hydration.
• Lubricants:
  
  • Water- or silicone-based products for comfort during sex.
• Lifestyle Adjustments:
  
  • Avoid irritants (scented soaps, douches).
  • Stay sexually active (increases blood flow to vaginal tissue).
  • Wear cotton underwear and loose clothing.