Only a few patients can be treated.
Women & # 39; s Disease – Vaginal dryness: irritated or itchy vaginal mucosa with bladder problems, burning sensation when urinating, discomfort and pain or even bleeding during transport: vaginal dryness has extremely unpleasant consequences and is a very common phenomenon, especially after menopause. "After the menopause, every second woman suffers from the so-called urogenital menopausal syndrome, but only a few receive adequate therapy", says gynecologist Prof. dr. Dr. med. Friedrich Wolff from the board of the GenoGyn Medical Cooperative. According to a recent study by the North American Menopause Society, more than half of women do not talk to a doctor about the problem; Therefore less than four percent of those affected can be treated. "In Germany, too, we experience daily in practice that the women in question often report on adequate complaints only on demand.As we basically have good treatment options, it is even more important to break the taboo and to emphasize vaginal dryness. in women and gynecologists, "said the gynecologist in Cologne.
The cause of the genitourinary transitional syndrome is the decrease in estrogen production in the course of menopause: natural estrogen deprivation makes the vaginal mucosa pale, thin and loses its elasticity. The vaginal flora changes, the pH in the vagina rises to more than 5, the blood flow and discharge are reduced and the smallest injuries (fissures), infections and associated pain are more common. "In general, vaginal dryness can occur at any stage of life because estrogen levels can also drop by hormonal contraceptives, during breastfeeding and as a result of surgical removal of the ovaries," says Prof. Wolff. Vaginal dryness may also occur as an additional symptom of diabetes mellitus, hypertension, multiple sclerosis, endometriosis or hormonal therapy and Sjögren's syndrome, chemotherapy, radiation and anti-hormone therapy in certain cancers. Spiritual reasons such as lack of libido, lack of foreplay, shame and sexual dysfunction may be the cause, as well as stress and depression. But excessive intimate hygiene and heavy consumption of alcohol and cigarettes can cause vaginal dryness.
Treatment options include the use of moisturizing creams or suppositories and the regeneration of the vaginal epithelium with lactic acid in the form of vaginal suppositories with lactobacilli, which create a natural, slightly acidic vaginal environment. In case of persistent and moderate to severe symptoms, taking into account the risk profile of the patient, the administration of natural estrogen in the form of locally effective estriol is an effective therapeutic option. Moreover, the use of lubricating creams or gels before circulation is absolutely recommended to patients, "said Prof. Wolff, board member of GenoGyn.
For women who refuse treatment with hormones or for oncology patients who are contraindicated for estrogen therapy, laser treatment is currently another non-hormonal treatment option in the discussion. "The goal of the vaginal laser is to improve the symptoms of vaginal atrophy, vaginal relaxation syndrome characterized by loss of elasticity and elasticity of the vagina, urinary incontinence, sexual dysfunction and vulvar lesions." Hans-Jörg Fröhlich, gynecologist and member of the GenoGyn Supervisory Board. "Although current data on laser therapy for urogenital menopausal syndrome is considered promising, further randomized controlled trials are needed to reliably assess the effectiveness of the vaginal laser," continues the gynecologist from Engelskirchen.
"In view of the numerous and effective treatment options for vaginal dryness, we appeal to the affected women not to accept pain and loss of quality of life, but to have their gynecologists informed and treated", Prof. dr. Dr. med together. Friedrich Wolff for the medical organization GenoGyn.
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