Menopausal Vaginitis Treatment
The goal of treatment for atrophic vaginitis is to reduce vaginal dryness, vaginal itchiness, and pain during intercourse. Moisturizers and vaginal lubricants are used for mild symptoms. Moderate to severe symptoms of atrophic vaginitis may require treatment with topical estrogen creams or vaginal suppositories. The doctor may recommend oral estrogen therapy if atrophic vaginitis occurs with severe symptoms of menopause. However, oral estrogen therapy is not recommended in those who have breast cancer, blood clots, heart disease, or a stroke.
Treatment options for atrophic vaginitis include:
- Topical estrogen for atrophic vaginitis
- Vaginal estrogen ring (Estring): a soft ring that contains estrogen is inserted into the upper vagina every 3 months.
- Vaginal tablets (Vagifem)
- Vaginal estrogen creams (Estrace, Premarin)
- Oral estrogens
- Estrogen patch or gel
Hormone replacement therapy should not be used in women who have had:
For more information:
Menopausal Vaginitis Questions For Doctor
The following are some important questions to ask before and after the treatment of atrophic vaginitis.
Questions to ask before treatment:
- What are my treatment options?
- What are the risks associated with treatment?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Are there any medications or supplements I should avoid?
- Do I need to change my diet?
- What else can I do to reduce my risk for vaginitis?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Continue to Menopausal Vaginitis Home Care
- Bachmann G, Lobo RA, Gut R, Nachtigall L, Notelovitz M. Efficacy of low-dose estradiol vaginal tablets in the treatment of atrophic vaginitis: a randomized controlled trial. Obstet Gynecol. 2008 Jan;111(1):67-76.
- Notelovitz M, Funk S, Nanavati N, Mazzeo M. Estradiol absorption from vaginal tablets in postmenopausal women. Obstet Gynecol. 2002 Apr;99(4):556-62. 
- Owen MK, Clenney TL. Management of vaginitis. Am Fam Physician. 2004 Dec 1;70(11):2125-32.