Definition
Vulvovaginal atrophy (VVA), formerly called atrophic vaginitis, is a condition that causes thinning, drying, and inflammation of the vaginal and vulvar tissues. It occurs when the body produces less estrogen, a hormone that helps keep these tissues healthy and elastic.
VVA is most common after menopause, when estrogen levels naturally decline. However, it can also occur in women who have undergone treatments that reduce estrogen production, such as surgery to remove the ovaries or radiation therapy for pelvic cancer.
Symptoms of VVA can include:
- Vaginal dryness and burning
- Pain during intercourse
- Discomfort with urination
- Vaginal bleeding after intercourse (less common)
Treatment
Treatment for VVA focuses on replacing estrogen and relieving symptoms. Options may include:
- Vaginal estrogen creams, tablets, or rings: These deliver a low dose of estrogen directly to the tissues.
- Lubricants: Over-the-counter lubricants can help with vaginal dryness during intercourse or other activities.
- Moisturizers: Vaginal moisturizers can help keep the vulvar tissues hydrated.
Disclaimer: Please consult a gynecologist to discuss your symptoms and explore treatment options for VVA.