Vaginal atrophy: the predisposing factors

In this article we investigate the “predisposing” factors to Vulvo Vaginal Atrophy, a pathological condition that 1 in 2 women in menopause suffers from and for which the best weapon is early diagnosis. This means that the visit to the gynecologist is the most powerful tool you have at your disposal to prevent or diagnose Vulvo Vaginal Atrophy early.

In this post we will talk about:

  • What is the link between Vulvo Vaginal Atrophy and menopause
  • What are the symptoms of Vulvo Vaginal Atrophy and why it is important to investigate them
  • What are the predisposing factors to Vulvo Vaginal Atrophy
  •  Practical advice on the prevention of Vulvo Vaginal Atrophy

What is the link between Vulvo Vaginal Atrophy and menopause

One in 2 menopausal women suffer from Vulvo Vaginal Atrophy . It is a pathological, progressive and chronic condition that causes a  thinning of the vulvar tissues , destined to become gradually more fragile and less elastic.

This state can cause aches and pains which, in the long run, can have a strong impact on daily life and intimate relationships . Situations that can cause discomfort and embarrassment in long-term couples, but even more so in “new” couples and also psychological stress , with a negative impact on psychophysical well-being.

Vulvo Vaginal Atrophy can be treated to prevent it from worsening over time : for this reason early diagnosis is essential .

What are the symptoms of Vulvo Vaginal Atrophy and why it is important to investigate them

Vulvo Vaginal Atrophy is linked to estrogen deficiency , but it is not a physiological manifestation of menopause. In fact, it is essential to undergo periodic checks by the gynecologist for the entire period (it can last for years) that precedes the end of menstruation , precisely to identify the signs early and treat it in the bud.

Vulvo Vaginal Atrophy manifests itself with rather generic symptoms common to many infections : for this reason it is important to inform the gynecologist periodically, the only one who can trace them back to their exact nature and formulate a precise diagnosis.

Symptoms of Vulvo Vaginal Atrophy can be considered :

  • Vaginal dryness
  • Intimate itching
  • Pain in intercourse
  • Blood loss

As you can see, these are manifestations that can easily be attributed to infections or discomfort and discomfort simply attributable to the hormonal changes of menopause . Even in the latter case, there would still be no excuse for neglecting oneself and waiting “for it to pass” because menopause should not be suffered nor neglected. It is essential not to underestimate the signs that could help identify Vulvo Vaginal Atrophy.

For greater clarity, let’s give an example: vaginal dryness is a nuisance that many postmenopausal women experience (affects 9 out of 10 women). In most cases, the cause is the natural hydration of the mucosa which is reduced due to the effect of estrogen that is no longer there. But among these cases, it is possible that it is also a consequence of Vulvo Vaginal Atrophy , that the “physiological” dryness can worsen.

What are the predisposing factors to Vulvo Vaginal Atrophy

Vulvo Vaginal Atrophy affects about half of menopausal and postmenopausal women. There is not a single cause that generates it, but predisposing factors can be identified:

  • Cigarette smoking: smoking is known to be the enemy of proper blood circulation and also has the effect of reducing oxygen supply on the vaginal tissues. This deficiency is decisive in a situation, such as that of Vulvo Vaginal Atrophy , in which there is an involution of the cells of the vaginal tissues, which thinner and drier (also due to reduced natural lubrication ), lose elasticity and, as a result, they become more and more fragile. Cigarette smoke, significantly affecting circulation and microcirculation, could predispose tissues, already in childbearing age, to poorer oxygenation and therefore accelerate all cellular aging processes .
  • Sedentary lifestyle: for the same reason, linked to the efficiency of microcirculation and its beneficial effects on tissue regeneration, substantial physical inactivity could be a predisposing factor, among others, for the development of Vulvo Vaginal Atrophy and related major disorders.
  • Sexual abstinence: intimate health, for the person, is as important as attention to health in general. In fact, intimate life helps to keep the entire genital ecosystem active and this activity is “perceived” by the brain which continues to keep the mucous membranes more vital. In menopause, the intensity and frequency of intercourse may change, preferences may change , but intimate intercourse should not be completely given up in the face of the first ailment (perhaps a little dryness, some small loss or pain). On the contrary, these disorders must be accepted and listened to, referred to the gynecologist and to the partner, because – beyond the treatments – a well-knit couple knows howfind effective tricks to continue having satisfying relationships .

 Practical advice on the prevention of Vulvo Vaginal Atrophy

Today, there is a variety of valid treatments to manage Vulvo Vaginal Atrophy and alleviate the discomfort it brings. The first step, however, is up to you. You can do a lot if you want to find your balance and your serenity:

  • Making prevention: it is the most powerful tool you have available and it is also easy to apply because it is enough to undergo periodic visits to the gynecologist. This is our page where you can find a gynecologist who specializes in menopause in your area .
  • Investigate ailments and discomfort: all the symptoms of Vulvo Vaginal Atrophy are easily superimposed on infections or other problems. For this reason, paying attention to each disorder, without thinking that it will resolve itself, is essential to understand exactly (as early as possible) if it is Vulvo Vaginal Atrophy. The only one who can do it is the gynecologist, to whom you will have to tell what are the ailments you have noticed.

In both cases, you can be an “ally” of your gynecologist and your intimate health: telling what you feel will help him to frame the situation correctly. This is the key to embarking on a decisive path and rediscovering your well-being as a woman.

To do this we help you by providing you

  • checklist that can help you explain your symptoms and how you feel to the gynecologist
  • test for Vulvo-Vaginal Atrophy (which in no way replaces the diagnosis of the gynecologist)
  • a vaginal health test that can help you find the right words to describe your symptoms to the gynecologist.


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