Women’s intimate health unit · Askabide Klinika
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Vulvovaginal atrophy

Vaginal atrophy: a familiar term for changes that can significantly affect wellbeing.

The term describes tissue changes often linked to lower oestrogen. It is now usually considered within a broader concept: genitourinary syndrome of menopause.

Tissue changesComfortUrinary symptoms
Pelvic area related to vaginal atrophy and vulvovaginal health
What to know

The information on this website is general and does not replace an individual consultation, diagnosis or medical recommendation.

01

Changes it may include

Vulvovaginal tissues may become thinner, less elastic and less lubricated. Dryness, burning, irritation, pain during sex, small fissures or contact bleeding can occur. Urgency, burning with urination or recurrent urinary infection may coexist.

02

Why clinicians now use the term GSM

“Vaginal atrophy” focuses on vaginal tissue, while genitourinary syndrome of menopause includes vulval, vaginal, sexual and urinary symptoms. The broader term helps avoid reducing the problem to a single area.

Read about genitourinary syndrome of menopause →
03

It should not be diagnosed online alone

Assessment reviews symptoms, previous treatment, oncological and hormonal history, examination and alternative diagnoses. Skin conditions, infections and lesions can mimic some symptoms and need different treatment.

04

Possible treatments

Options depend on severity, history and preference. They may include moisturisers and lubricants, prescribed local treatments and other measures. Energy-based devices should not be presented as an automatic replacement for established treatments or as a guarantee.

FAQ

Frequently asked questions

Does vaginal atrophy worsen over time?
Symptoms can persist or progress without treatment, although the course varies. Assessment allows causes and options to be reviewed.
Is it the same as an infection?
No. It may cause similar burning or discomfort, but infections have a different diagnosis and treatment. They can sometimes coexist.
Can I use any cream?
Irritating products or hormonal treatments should not be used without appropriate assessment. The right product depends on cause and medical history.
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Outside opening hours, the answering system offers an urgent-call option and redirects the call to 24-hour telephone assistance. If there is an immediate threat to life, fainting, breathing difficulty, severe bleeding or rapid deterioration, call 112.

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