Symptoms and Treatment for Vaginal Atrophy

Understanding Vaginal Atrophy: Symptoms, Treatment, and the Role of Vaginal Oestrogen

Vaginal atrophy, also known as genitourinary syndrome of menopause (GSM), is a common condition that affects many postmenopausal women. It occurs due to a decrease in oestrogen levels, leading to thinning, drying, and inflammation of the vaginal walls. This blog aims to shed light on the recognizable symptoms of vaginal atrophy, explain how vaginal oestrogen pessaries can help alleviate these symptoms, discuss the risks and consequences of untreated vaginal atrophy, explore available treatments, and delve into the science behind oestrogen’s effectiveness in managing the condition.

Recognizable Symptoms of Vaginal Atrophy:
Vaginal atrophy manifests through a range of symptoms, which may vary in severity among affected individuals. Common symptoms include vaginal dryness, itching, burning, discomfort during intercourse (dyspareunia), urinary problems (such as urgency or recurrent urinary tract infections), and vaginal bleeding after intercourse.

The Role of Vaginal Oestrogen Pessaries:
Vaginal oestrogen pessaries are a commonly prescribed treatment for vaginal atrophy. These pessaries are typically applied intravaginally, delivering a controlled dose of oestrogen directly to the vaginal tissues. oestrogen helps restore the natural thickness, elasticity, and moisture of the vaginal walls, alleviating symptoms associated with vaginal atrophy.

The Benefits of Vaginal oestrogen:
Vaginal oestrogen pessaries are considered an effective treatment for vaginal atrophy due to their localized action. By restoring oestrogen levels in the vaginal tissues, these pessaries can improve vaginal lubrication, reduce vaginal dryness and itching, alleviate dyspareunia, and help maintain a healthy vaginal environment. Vaginal oestrogen has also shown positive effects on urinary symptoms associated with vaginal atrophy.

Risks and Consequences of Untreated Vaginal Atrophy:
If left untreated, vaginal atrophy can significantly impact a woman’s quality of life. Severe vaginal dryness and thinning can lead to chronic discomfort and pain during sexual activity, causing decreased libido and potential relationship issues. Additionally, the loss of elasticity in the vaginal tissues increases the risk of vaginal infections, urinary tract infections, and urinary incontinence.

Available Treatments for Vaginal Atrophy:
Aside from vaginal oestrogen pessaries, other treatment options for vaginal atrophy include vaginal oestrogen creams, oestrogen rings, and systemic hormone therapy. Non-hormonal treatments such as vaginal moisturizers and lubricants can also provide temporary relief from symptoms. It is important to consult a healthcare professional to determine the most suitable treatment option based on individual circumstances and medical history.

Understanding Oestrogen’s Effectiveness:
Oestrogen plays a vital role in maintaining the health and function of vaginal tissues. It stimulates the production of glycogen, a substance that helps maintain an acidic environment in the vagina and supports the growth of beneficial bacteria. Oestrogen also promotes blood flow to the vaginal area, improving tissue elasticity and lubrication. Research has shown that the localized application of oestrogen in the vagina is safe and effective for managing symptoms of vaginal atrophy.

Credible Sources and Research:
To gain a deeper understanding of vaginal atrophy, its symptoms, treatment options, and the scientific basis behind oestrogen therapy, it is crucial to refer to credible sources. The following sources provide reliable information and research on vaginal atrophy:

  1. The British Menopause Society –
  2. NICE –
  3. National Library of Medicine –


When prescribing vaginal oestrogen for the treatment of vaginal atrophy, it is essential for healthcare professionals to follow the guidelines set by the National Institute for Health and Care Excellence (NICE). These guidelines provide evidence-based recommendations to ensure safe and effective treatment. Adhering to the correct procedure for prescribing vaginal oestrogen helps optimize patient outcomes and minimize the potential risks associated with treatment. By staying up to date with the latest research and guidelines, healthcare professionals can offer comprehensive care to women experiencing vaginal atrophy and improve their overall well-being.

Disclaimer: This blog post is for informational purposes only and should not replace professional medical advice. Please consult a healthcare professional for personalized diagnosis and treatment options.