Premature Menopause and Vulvo Vaginal Atrophy

When menopause arrives earlier than expected, does AVV develop the same way? What are the major inconveniences?

Sometimes menopause comes sooner than expected. The reasons why this happens, in the absence of medical causes such as a surgical removal of the ovaries or special therapies, can be found in a genetic factor: if in your family mother or sisters have experienced a premature menopause , it is You may also have to deal with this eventuality.

the consequences of a premature menopause can also be psychological, given that with the end of the fertile life some typical ailments that we know well and that can bring some shocks to the couple’s life can also arrive. However, today we want to clarify how an advance of the climacteric compared to the norm and Vulvo Vaginal Atrophy, a chronic progressive condition that today affects one in two women in menopause and post menopause, can be connected .

Times and terms of early menopause

Premature menopause and urogenital changes

With premature menopause, we have already talked about it in another dedicated article , all the changes in the body and related disorders are not only anticipated compared to the norm – therefore they affect women who are younger and often not ready to face this phase of life – but they can be accelerated and amplified, especially if it is iatrogenic menopause. In these cases there is not that phase of more or less slow adaptation and gradualness that the body goes through in perimenopause .

Changes in the urogenital system, i.e. the vulva, the vagina , the tissues that compose them, the muscle bands such as the pelvic floor , and all the organs that make up the urinary tract, are normal and depend on the lack of estrogen , those hormones that, starting a few years before the arrival of menopause, begin to gradually decline. Less estrogen means – at the vulvovaginal level – less elastic, less hydrated, more fragile tissues, therefore it can mean blood loss, micro-lesions or abrasions and pain. Dyspareunia, or pain during intercourse , is one of the most common disorders, a consequence of hormonal deficiency.

Along with these disorders, many women are faced with the consequences of Vulvo Vaginal Atrophy, which is part of the genitourinary syndrome and presents a set of signs and symptoms associated with changes in the vaginal, vulvar, urethra and bladder.

Premature Menopause and Vulvo Vaginal Atrophy

In the case of iatrogenic premature menopause, all disorders could manifest themselves more quickly. On the other hand, however, in these cases it is very likely that the woman is constantly followed by a specialist who also takes care of keeping under control the consequences of an estrogen deficiency earlier than the norm.

On the other hand, when premature menopause is spontaneous it could happen that visits to the gynecologist are progressively reduced, once the definitive end of ovulations has been ascertained. However, the fact of thinking that since the genital system has finished one of its functions is “at rest” and therefore there is nothing more to be done, is a mistake.

Genital health can be preserved for a long time as well as sexual life and general well-being. Therefore it is important to continue to listen to your body, noting and noting the possible presence of the spy-related disorders of Vulvo Vaginal Atrophy and contacting the gynecologist for any doubt or question.

Vulvo Vaginal Atrophy manifests itself through:

  • genital symptoms:
  • vaginal dryness
  • burning
  • irritation
  • symptoms of the sexual sphere:
  • lack of lubrication
  • dyspareunia
  • urinary symptoms:
  • urgency
  • dysuria or pain on urination
  • recurrent urinary tract infections

These are very frequent disorders but they can also be unrelated to menopause or Vulvo Vaginal Atrophy . Also for this reason only 25% of women report one or more of these problems to their doctor or gynecologist ( the data are taken from “Premature menopause and vulvovaginal health”, edited by Filippo Murina Head of Vulvar Pathology Service – UO of Obstetrics and Gynecology V. Buzzi Hospital-ICP-University of Milan ).

Instead, it is of enormous importance to talk about it, especially in the case of premature menopause. Contact your gynecologist or find a menopause specialist near you . Establishing a frank and sincere dialogue with the specialist is the first step towards well-being.

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