ATROPHIC VAGINITIS
Atrophic Vaginitis (vaginal dryness):
Vaginal dryness, vaginal thinning, and what is
called "atrophy" are
very common problems for menopausal women. Estrogens are responsible
for the thickened, elastic, lubricated tissue of the vagina and vulva.
When estrogen levels decline, the vulva loses its collagen, fat,
and water-retaining ability. As a result, it becomes flattened, thin,
and dry and loses tone. With estrogen loss, the vagina also shortens
and narrows, and the vaginal walls become thinner, less elastic,
and pale in color.
Problems of vaginal dryness, vaginal discharge, and pain with vaginal
sex are reported by two out of three women at the age of 75. The
change that is usually noticed first is a feeling of dryness of the
vagina. The cause is atrophy of the mucus-producing glands of the
vaginal wall. With a loss in lubrication and a thinning of the tissue,
the vagina is more prone to infections and mechanical injury from
vaginal penetration. Small pinpoint bleeding, itching, and burning
can result. Other tissue in the same area also becomes thin and atrophied.
The urethral tissue, the labia, and the vaginal wall can all atrophy.
These changes can progress to increased bladder infections and involuntary
loss of urine.
Treatment:
Use OstaDerm-V ¼ tsp applied to the labials
(major/minor) not inside the vaginal canal. It will take on average,
8 weeks to
regenerate the vaginal and labial tissues. After the 8 weeks of treatment,
have the patient use PhytoB or OstaDerm as their regular menopausal
support. The patient, who has had symptomatic vaginitis, may require
on going local treatment to the labial area.
If some local treatment is needed after the 8 weeks: Use 10 to 12
doses of PhytoB or OstaDerm and 2 to 4 doses of OstaDerm-V per week.
The patient may need a general lubricate for sexual relations. The
recommendation is O'lea to lubricate the vaginal and labial tissue,
and/or the penis. This is a suppository and can be inserted into
the vagina or rubbed onto the penis. The O'lea suppository is creamed
cocoa butter and bees wax, that has no odor and is very soothing
to the tissues as well as lubricating.