Vulvovaginal Atrophy
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What Is Vulvovaginal Atrophy?
Vulvovaginal atrophy (VVA) is the thinning, drying, or inflammation of the vaginal walls caused by a decrease in estrogen levels, and most commonly occurs after menopause. For many women, it can make intercourse painful and lead to bothersome urinary symptoms. It is also referred to as genitourinary syndrome of menopause (GSM) because it affects both the vagina and the urinary tract. Fortunately, effective treatments for GSM are available. While lower estrogen levels bring changes to your body, you don’t have to live with the discomfort—relief is possible.
What Are the Causes of Vulvovaginal Atrophy?
Vulvovaginal atrophy occurs when estrogen levels decline, leading to thinner, drier, less elastic, and more fragile vaginal tissues. A decrease in estrogen may happen as a result of menopause or during perimenopause, while breastfeeding, when taking medications that affect estrogen levels - such as certain birth control pills, or as a side effect of hormonal treatments for breast cancer. Genitourinary Syndrome of Menopause (GSM), can develop during perimenopause and may not become noticeable until several years after menopause. While the condition is common, not all women experience it. Engaging in regular sexual activity, with or without a partner, can help maintain vaginal tissue health.
What Are the Treatments and Therapies for Vulvovaginal Atrophy?
Vulvovaginal atrophy (VVA), also known as genitourinary syndrome of menopause (GSM), can be managed with various treatments aimed at restoring moisture, improving tissue elasticity, and relieving discomfort. The best treatment depends on the severity of symptoms and individual health factors. Non-hormonal treatments may be recommended such as, vaginal moisturizers, lubricants, and lifestyle adjustments. Pelvic floor exercises and regular sexual activity, with or without a partner, maintains blood flow and vaginal health.
Hormonal therapy may be prescribed. Local (low-dose) vaginal estrogen therapy directly targets vaginal tissues with minimal systemic absorption. DHEA (Prasterone - Intrarosa), is a vaginal suppository that converts into estrogen and testosterone, improving lubrication and elasticity. There are also regenerative and alternative therapies such as laser and radiofrequency therapy and hyaluronic acid-based treatments. Systemic Hormone Therapy, for full-body menopausal symptoms may also be recommended for women experiencing other uncomfortable menopausal symptoms in the form of oral estrogen pills, patches or gels.
How Can Well by Messer Help You with Vulvovaginal Atrophy?
Well by Messer is a holistic metabolic health and wellness center, offering a multidisciplinary approach to various health conditions, including specialized care for various hormonal and metabolic conditions. Our team includes endocrinologists, gynecologists, and other healthcare professionals who collaborate to provide personalized treatment plans. Our Gynecologist, Dr. Alyssa Dweck, a certified menopause provider, focuses on gynecology, menopause, and sexual health. She offers specialized care for women experiencing hormonal changes – an underlying cause of vulvovaginal atrophy. By consulting with one of our professionals at Well by Messer, you can receive a tailored treatment plan aimed at effectively managing vulvovaginal atrophy and improving your overall quality of life.
Meet the Well by Messer (WBM) Team
Under the leadership of top endocrinologist in New York, Dr. Caroline Messer, our caring and talented team of board-certified endocrinologists, gynecologists, psychologists, nutritionists, and personal trainers will be dedicated to supporting your success at our metabolic centers in Manhattan.
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