With the menopause, the loss of estrogen will bring significant changes to the hormone-sensitive organs such as the breasts, genital organs, bladder and so on. Vaginal itch and burning sensations are attributes of vulvo-vaginal atrophy.
This condition is characterized by thinning of the epithelium (less layers of cells at the most superficial skin) and loss of collagen, interstitium and blood supply at the dermis (the deeper layer of the skin). Vaginal atrophy can be extremely uncomfortable and it worsens as one ages. Unfortunately, every women will experience it and about 70% will complained of it by age 70.
Accurate assessment is essential before prescribing various adjunctive therapies. Improving the skin quality, moisturising it, reducing trauma and preventing infections are necessary aims. The use of hormonal cream and ointment is the cornerstone of management. However when hormonal cream does not improve the condition after several weeks, there is a further need to exclude primary skin pathology.
Vaginal atrophy cannot be reversed over-night, so be patient and try the hormonal preparation sufficiently. For those who are not suitable or not willing to use hormones for fear of long term side effects, the alternative therapy is laser vaginal rejuvenation.
Carbon dioxide and erbium laser has become widely accepted non-pharmacological treatment for vulvar vaginal atrophy. It's lack of long term complication and proven effectiveness have position laser rejuvenation as an indispensable treatment for vaginal itch and dryness in the older menopausal women.
Contact your gynecologist to understand how the vaginal laser can relieve your post menopausal atrophy symptoms.
Dr James W S Lee
