Vaginal thinning, also known as atrophic vaginitis or vaginal atrophy, is a condition characterized by inflammation, dryness, and thinning of the vaginal walls. This condition can be particularly problematic, leading to painful intercourse as well as lower urinary tract symptoms (LUTS).
Understanding Vaginal Thinning
Atrophic vaginitis typically occurs due to menopause or perimenopause, when women experience a significant drop in estrogen levels. This condition is so common during these stages of life that it is often referred to as Genitourinary Syndrome of Menopause (GSM).
Concerns Associated with Vaginal Thinning
Vaginal thinning can cause a wide range of symptoms, from mild discomfort to debilitating pain. These symptoms can include dryness, burning, itching in the vaginal and genital area, frequent and urgent urination, painful or difficult intercourse, and urinary incontinence. Each of these symptoms can cause significant distress, and they are concerns I frequently encounter in my practice.
Getting Treatment for Vaginal Thinning
Vaginal thinning should be diagnosed and treated by a urologist and sexual health expert who specializes in the female genitourinary system. These concerns require nuanced management, incorporating various treatments, modalities, and long-term prevention strategies.
Most treatment plans for atrophic vaginitis revolve around localized vaginal hormone treatment or systemic hormone replacement therapy (HRT). This can include:
- Estrogen Cream: Inserted directly into the vagina.
- Estrogen Suppositories: Left in the vaginal canal.
- Estrogen Rings: Vaginal ring which release the hormone gradually over time.
- Estrogen Tablets: Taken orally.
- Estrogen Patches: Applied and absorbed through the skin.
We may also recommend the use of topical moisturizers and lubricants to enhance the effects of estrogen therapy.
Once we have raised your baseline vaginal or systemic estrogen levels and begun to reverse the inflammation and thinning of the vaginal walls, we can discuss longer-term options. These may include therapies like vaginal rejuvenation and lifestyle changes which can enhance blood flow to the vagina, repair irritated and thin tissue, reduce the likelihood of continued vaginal thinning, and promote recovery.
The Importance of Specialist Care
As with any significant concern involving your vagina or vulva, it’s crucial to see a specialist who understands and has experience with your condition. Unfortunately, only 10% of urologists are women, and not all of them are trained in women’s intimate health issues. Similarly, gynecologists or aesthetic based practices may not specialize in these conditions, leaving women with limited options for professional advice.
We encourage you to schedule a consultation at Aayla to learn more about your condition and the treatments available to you.