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CPD module: Vaginal atrophy

Prevalence and impact
Physiology and causes
Postmenopausal signs and symptoms
Non-menopausal causes
Health professional input
Adherence and patient concerns
Management
Management – non-drug
Recent developments
OTC HRT
Useful resources
References

module menu icon Postmenopausal signs and symptoms

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module menu icon Postmenopausal signs and symptoms

Physical changes that can occur post-menopause include:2

  • a decrease in vaginal secretion acidity, from around pH 4.5 towards neutral;
  • thinning and increasing ‘fragility’ of the vaginal epithelium layer,
  • a loss of the vagina’s structural ridges (rugae);
  • microbleeds under the mucosa (petechiae).

Vaginal dryness is the most common reported vaginal symptom (70%) in post-menopausal women, followed by vaginal irritation (33%), dyspareunia (29%) and vaginal tenderness (14%)11

CPD module: Vaginal atrophy

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