Happy Spring! After a very long, cold winter in the Northeast we all deserve some warmth and sunshine. Just knowing it is on the way makes us feel better and look forward to the beautiful weather to come.
Any woman who is menopausal knows the vaginal tissue becomes dry, or atrophic, and lubrication is reduced. This atrophy can also cause painful intercourse, irritation, itching and burning. Some women even assume they have a vaginal infection and treat themselves with over the counter medications instead of seeking the advice of their practitioner. This only makes the situation worse. Women who enjoyed an active sexual relationship often find they are no longer interested or even fearful about any sexual activity.
There are many options available to treat this problem and considered very safe by nearly all practitioners because absorption into the bloodstream is minimal. They include estrogen, testosterone and DHEA. All of these can be compounded into creams or capsules depending on which the patient prefers. Over the counter vaginal lubricants generally are not effective as they do not treat the underlying problem. They act as a mechanical barrier between the vaginal epithelium and the external environment and therefore have a short term action.
They can temporarily improve the dryness related to sexual activity. Hormones treat the atrophy by replacing what has been lost due to menopause. They restore the thickness and elasticity of the vaginal tissue resulting in improvement of dryness, discomfort and irritation. Hormones are generally considered to be a long term treatment as the condition will return if they are stopped.
If you are suffering with this problem, make an appointment with your practitioner to discuss the options for treatment. Nearly all post menopausal women have some form of vaginal atrophy. The only difference is some women experience more severe symptoms than others.
My best to you all,
Brenda
About the Author
Brenda Houdlette
