Most cases can be treated with local estrogen therapy such as creams or vaginal suppositories. The decision to initiate systemic therapy with estrogen is complex and is based on many factors. A woman should discuss the risks and benefits of estrogen replacement therapy with her doctor.

Treatment for atrophic vaginitis may include:

• Topical estrogen for atrophic vaginitis
• Vaginal estrogen suppositories
• Vaginal estrogen creams
• Oral estrogens
• Conjugated estrogens (Premarin)
• Estrogen patch or gel
• Estradiol patch (Vivelle)

Hormone replacement therapy should not be used in women who have had:

• Breast cancer
• Pulmonary embolism
• Deep venous thrombosis
• Heart disease
• Heart attack
• Stroke

For more information:

• Bacterial vaginitis treatment
• Trichomonas vaginitis treatment
• Yeast vaginitis treatment
• Vaginitis treatment