Moderate menopausal vulvovaginal atrophy

What Is Moderate Menopausal Vulvovaginal Atrophy?

Menopausal vulvovaginal atrophy (MVA) is a condition that can occur during the menopause transition, because of the decrease in estrogen levels in the body. This condition can cause a range of symptoms that can affect a woman’s quality of life and sexual functioning. It is estimated that almost 50 percent of postmenopausal women suffer from some form of MVA. Moderate manifestations of this condition are those which negatively affect a woman’s comfort and quality of life but are not severe enough to be diagnosed as a severe form of MVA.

Moderate menopausal vulvovaginal atrophy can cause a range of symptoms including:

  • Vaginal dryness or discomfort
  • Pain or itching in the vagina
  • Burning sensation in the vagina
  • A feeling of urgency to urinate
  • Light spotting
  • Burning or soreness on the vulva

These symptoms can affect sexual functioning, causing discomfort during intercourse and even painful penetration. In some cases, they can also lead to decreased sexual pleasure. Additionally, moderate MVA can also lead to light bleeding or spotting after sexual intercourse.

Treating Moderate Menopausal Vulvovaginal Atrophy

The first step in treating moderate MVA is to talk to a doctor to identify the exact nature of the problem. There are two main approaches to treating the condition: hormone therapy and non-hormonal treatments.

Hormone therapy tends to be the first line of treatment for moderate MVA as it can be very effective in reducing many of the symptoms. This can involve taking oral hormone replacement therapy (HRT) or topical hormone creams and tablets.

Non-hormonal treatments such as vaginal moisturizers and lubricants can also help to relieve some of the symptoms. These can help to restore the natural moisture and lubrication of the vagina, providing relief from dryness and discomfort. Additionally, there are vaginal dilators which can help to desensitize the vagina, reducing discomfort and making it easier to engage in sexual intercourse.

It is important to talk to a doctor about the best treatment for moderate MVA as some of the available treatments may not be suitable for all women. Additionally, it is important to remember that it may take a few months for the full effects of treatment to be seen.