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Vulvovaginitis, Estrogen Deficient

Karla M. Alba, MD, Michelle Rodriguez, MD and Mark T. Nadeau, MD, MBA Reviewed 06/2019
 


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

    • Bu...

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 management. Am J Obstet Gynecol. ...

ADDITIONAL READING

  • Pitsouni E, Grigoriadis T, Falagas M, et al. Laser therapy for the genitourinary syndrome of menopause. A systematic review and meta-analysis. Maturitas.  2017;103:78–88. [View...

CODES

ICD10

  • N95.2 Postmenopausal atrophic vaginitis

  • E28.39 Other primary ovarian failure

ICD9

  • 627.3 Postmenopausal atrophic vaginitis

  • 256.39 Other ovarian failure

SNOMED

  • 75993002 Atrophic vulvovaginitis

  • 11036...

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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