Vulvovaginal symptoms after menopause

Key points

  • Vulvovaginal symptoms are numerous and varied and result from declining oestrogen levels.
  • Investigate any post- menopausal bleeding or malodorous discharge.
  • Management includes lifestyle changes as well as prescription and non-prescription medications.

pdfAMS Vulvovaginal symptoms after menopause399.39 KB

Why is oestrogen important for vaginal health?

What symptoms occur with changes in vaginal health?


Non-prescription treatments:

Prescription treatments:

September 2018


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  4. 4. Portman DJ, Gass ML. Genitourinary Syndrome of Menopause: New Terminology for Vulvovaginal Atrophy from the International Society for the Study of Women's Sexual Health and The North American Menopause Society. Journal of The Sexual Medicine. 2014.
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  3. 8. Caillouette JC, Sharp CF, Jr., Zimmerman GJ, Roy S. Vaginal pH as a marker for bacterial pathogens and menopausal status. American Journal of Obstetrics & Gynecology.176(6):1270-7.
  4. 9. Suckling J, Lethaby A, Kennedy R. Local oestrogen for vaginal atrophy in postmenopausal women. Cochrane

       Database Syst Rev. 2006(4):Cd001500.

  1. 10. Rahn DD, Carberry C, Sanses TV, Mamik MM, Ward RM, Meriwether KV, et al. Vaginal estrogen for genitourinary syndrome of menopause: a systematic review. Obstetrics and gynecology. 2014;124(6):1147-56.
  2. 11. Castelo-Branco C, Cancelo MJ, Villero J, Nohales F, Julia MD. Management of post-menopausal vaginal atrophy and

       atrophic vaginitis. Maturitas. 2005;52 Suppl 1:S46-52.

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Content created September 2018