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Atrophic Vaginitis

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This refers to inflammation of the vagina which can occur when oestrogen levels decrease. Decreased oestrogen levels leads to a number of changes in the vagina which includes thinning of the lining which becomes more delicate and easily traumatised, a rise in the pH, and reduced secretions. It is the the most common cause of an abnormal vaginal discharge in postmenopausal women.

Symptoms include a thin, yellow discharge which occasionally can be blood stained, itching, soreness and painful sex.


Diagnosis is usually straight forward, based on the history, examination and tests.


Treatment consists of vaginal lubricants and moisturizers and, replacing the oestrogen as necessary. Creams, tablets and a ring can be used.

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