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Atrophic vaginitis

Atrophic vaginitis (also known as vaginal atrophy or urogenital atrophy) is an inflammation of the vagina (and the outer urinary tract) due to the thinning and shrinking of the tissues, as well as decreased lubrication. This is all due to a lack of the reproductive hormone estrogen.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with atrophic vaginitis, 45% report having vaginal dryness, 45% report having vaginal itching, and 40% report having painful urination. The symptoms that are highly suggestive of atrophic vaginitis are vaginal itching, vaginal dryness, involuntary urination, pain during intercourse, hot flashes, and intermenstrual bleeding, although you may still have atrophic vaginitis without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with atrophic vaginitis often receive pelvis exam, examination of breast, urinalysis, mammography, rectal examination, complete physical skin exam performed (ml), pap smear and depression screen .

Common Medications

The most commonly prescribed drugs for patients with atrophic vaginitis include estrogens, conjugated (usp) (premarin), estradiol, nitrofurantoin, raloxifene (evista), hydrochlorothiazide / triamterene, oxybutynin, tolterodine (detrol), progesterone, solifenacin (vesicare), risedronate (actonel), calcium citrate, betamethasone-clotrimazole topical and psyllium .

Estrogens, Conjugated (Usp) (Premarin)
$56
(28 days)
Estradiol
$29
(28 days)
Nitrofurantoin
$28
(21 days)
Raloxifene (Evista)
$105
(28 days)
Oxybutynin
$37
(28 days)
Tolterodine (Detrol)
$121
(28 days)
Progesterone
$56
(28 days)
Solifenacin (Vesicare)
$129
(28 days)
Risedronate (Actonel)
$104
(28 days)
Calcium Citrate
$6
(21 days)
Betamethasone-Clotrimazole Topical

Psyllium
$11
(28 days)

Who is at risk?

Groups of people at highest risk for atrophic vaginitis include age 75+ years, age 60-74 years, sex == female and age 45-59 years. On the other hand, sex == male, age 5-14 years, age 1-4 years, age 15-29 years, and age < 1 years almost never get atrophic vaginitis.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.0x
30-44 years
0.2x
45-59 years
1.9x
60-74 years
2.5x
75+ years
2.2x

Sex

Male
0.0x
Female
1.7x

Race/Ethnicity

Black
0.5x
Hispanic
0.7x
White
1.2x
Other
0.8x
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