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Vulvovaginitis, Estrogen Deficient

Mark T Nadeau, MD and Kristen R Canady, PhD, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Estrogen-deficient vulvovaginitis is a hypoestrogenic state with external genital, urologic, and sexual sequelae.

  • Estrogen deficiency affects all tissues in the female body; however, ...

DIAGNOSIS

HISTORY

  • All female patients should be asked about symptoms because many women are embarrassed to discuss these issues with their health care providers (1).

    • Vaginal dryness

    • Dyspareunia

    • Pruritus

    • B...

TREATMENT

GENERAL MEASURES

  • Wear loose-fitting, undyed cotton underwear.

  • Avoid prolonged pad use, especially scented pads.

  • Avoid feminine deodorant sprays and douching.

  • Symptomatic relief, if needed (e.g.,...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Follow up as needed to determine response to treatment and for adjustment of treatment regimen. 

Patient Monitoring

Instruct the patient that symptoms should improv...

REFERENCES

1
Gandhi  J, Chen  A, Dagur  G, et al. Genitourinary syndrome of menopause: an overview of clinical manifestations, pathophysiology, etiology, evaluation, and managem...

ADDITIONAL READING

  • Pitsouni  E, Grigoriadis  T, Falagas  M, et al. Laser therapy for the genitourinary syndrome of menopause. A systematic review and meta-analysis. Maturita...

CODES

ICD10

  • N95.2 Postmenopausal atrophic vaginitis

  • E28.39 Other primary ovarian failure

SNOMED

  • 75993002 Atrophic vulvovaginitis

  • 110368006 decreased estrogen level (finding)

  • 408386002 Perimenopausal atrophi...

CLINICAL PEARLS

  • Estrogen-deficient vulvovaginitis affects virtually all postmenopausal women to some degree as well as some premenopausal women.

  • This disorder is associated with genital, urologic, and ...

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