Clinical obstetrics and gynecology
-
Clin Obstet Gynecol · Sep 2015
ReviewVulvar and Vaginal Atrophy: Physiology, Clinical Presentation, and Treatment Considerations.
Vulvovaginal atrophy is a common condition associated with decreased estrogenization of the vaginal tissue. Symptoms include vaginal dryness, irritation, itching, soreness, burning, dyspareunia, discharge, urinary frequency, and urgency. ⋯ Despite the high prevalence and the substantial effect on quality of life, vulvovaginal atrophy often remains underreported and undertreated. This article aims to review the physiology, clinical presentation, assessment, and current recommendations for treatment, including aspects of effectiveness and safety of local vaginal estrogen therapies.