Vaginitis is an inflammation or infection of the tissues of the vagina. The dominant female hormone estrogen helps to keep the vagina moist and flexible from puberty on through menopause. After menopause the estrogen levels drop and this decrease causes vaginal irritation, inflammation, and infections. Vaginitis that is due to this lack of estrogen is also called atrophic or postmenopausal vaginitis.
Symptoms may include:
Itching
Burning
Painful urination
A thin, watery discharge which may be sticky
What your doctor can do:
Diagnose the problem by asking about your symptoms and medical history, and performing a physical exam including a pelvic exam.
Order laboratory blood tests, culture tests of vaginal tissue and discharge, and a urine test.
Rule out other causes of vaginitis, such as bacterial infections, kidney infections, and urinary tract infections.
Discuss the advantages and risks of estrogen replacement therapy (ERT) with you
Prescribe ERT if appropriate.
What you can do:
Carefully consider whether ERT is right for you. Ask your doctor questions about benefits, risks and side effects.
Avoid sexual intercourse until the vaginitis is resolved.
A water-based lubricant, such as KY Jelly, can be used in the vagina during sexual intercourse to decrease the irritation.
Until the vaginitis is resolved, you should avoid excessive heat and sweating.
Avoid using douches, vaginal deodorants and bubble baths that may cause irritation.
What you can expect:
The condition may resolve itself without treatment.
Estrogen replacement is effective in treating this type of vaginitis.
Contact your doctor if symptoms worsen or new symptoms occur.
