Atrophic Vaginitis

atrophic Vaginitis

Atrophic vaginitis is defined as inflammation of the vaginal epithelium that is due wholly or in occasion to a lack of estrogen. It is important for the clinician to distinguish between the characteristic woman with an inflamed atrophic vagina and the woman who has vaginal atrophy, which is considered largely asymptomatic and is not inflamed. The importance of this distinction lies in the point that atrophic vaginitis is uncommon, whereas atrophic vaginas ar common.

There are collar stages during life when the vagina is atrophic. These times are before menarche, during breast-feeding, and postmenopausally. The physiology of the vagina during these stages is similar. The epithelium is tenuous and lacks glycogen owing to a decrease in the endogenetic estrogen. The pH increases to 6.5 to 7.0, which can support smoldering bacterial infections. However, this pH environment usually does not support candidal, trichomonal, or gonorrheal infections.

A.History
1. Atrophic vaginitis is very rare in children. However, if present, the signs tend to be rout or spotting (or both), which occurs from the development of a chronic vaginitis.
2. If atrophic vaginitis occurs during breast-feeding, the complaint is of vaginal dryness or dyspareunia.
3.



Postmenopausal women are the ones most commonly affected with atrophic vaginitis. The presenting signs and symptoms are place burning, dryness, soreness, dyspareunia, vulvar and vaginal irritation, occasional spotting, or a combine of these symptoms.
B.Physical examination
The vaginal walls appear thin, dry and tranquil with little or no rugations. Inflammation, petechial hemorrhage, or exudate whitethorn be present.
C.Investigative procedures
1. The wet mount preparation shows fourfold WBCs with many bacteria present.
2.Vaginal and cervical cultures are not recommended since the microorganisms present are secondary invaders and not the cause of the vaginitis.
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