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Atrophic Vaginitis Treatment Overview

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Care Plan


First steps to consider

  • Mild symptoms can be treated at home.
  • OTC vaginal moisturizers and lubricants can help symptoms like vaginal dryness, burning, and pain during sex.
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When you may need a provider

  • Symptoms are moderate to severe.
  • Mild symptoms haven't improved in about 3–4 weeks of home treatment.
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The suppliers listed follow Buoy’s clinical guidelines, but listing the suppliers does not constitute a referral or recommendation by Buoy. When you click on the link and/or engage with these services Buoy will be compensated.

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All treatments for atrophic vaginitis
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When to see a healthcare provider

See a healthcare provider if you have moderate to severe symptoms of atrophic vaginitis or you have mild symptoms that haven’t improved with 3–4 weeks of home care.

Getting diagnosed for atrophic vaginitis

In many cases, doctors can diagnose atrophic vaginitis by performing a physical exam. They’ll look for signs like a shortened or narrowed vagina, loss of stretch in the skin, and dryness, redness, and swelling.

What to expect from your visit

If OTC treatments haven’t helped, your doctor may prescribe medication and other treatments.

  • Vaginal estrogen therapy can bring back moisture and elasticity to vaginal tissue. These are available in a few different forms, such as vaginal tablets, creams, and a vaginal ring. There are some risks with taking estrogen, such as increased risk of breast cancer in some women, but they’re greatly reduced when it's applied directly to the vagina rather than taken orally.
  • If you don’t respond to topical estrogen, your provider may consider oral estrogen.
  • Women who can’t take estrogen may be prescribed other types of medication, including a selective estrogen receptor modulator for painful sex and vaginal dryness or vaginal dehydroepiandrosterone (DHEA), which treats thin vaginal tissue.
  • Your doctor may also recommend pelvic floor physical therapy to strengthen, stretch, and relax the vaginal area.

Prescription atrophic vaginitis medications

  • Vaginal estrogen therapies: Vagifem or Imvexxy vaginal inserts, Estring vaginal ring, Premarin or Estrace vaginal creams.
  • Oral non-hormonal: Osphena
  • Selective estrogen receptor modulator: ospemifene (Osphena)
  • Vaginal DHEA: prasterone (Intrarosa) vaginal inserts

Types of atrophic vaginitis providers

  • A primary care provider can treat mild to moderate symptoms of atrophic vaginitis.
  • An ob-gyn is a doctor who specializes in women’s health.
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