Vulvovaginal Atrophy and Genital Menopausal Syndrome

Vulvovaginal Atrophy, Genital Menopause Syndrome: Diagnostic Tests

Mandatory medical device diagnostics. Vulva/Vagina Vaginal sonography (ultrasound examination using an ultrasound probe inserted into the vagina (sheath)) – to evaluate the genital organs. Optional medical device diagnostics – depending on the results of the medical history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification. Urethra/bladder Urodynamic diagnostics (including … Vulvovaginal Atrophy, Genital Menopause Syndrome: Diagnostic Tests

Vulvovaginal Atrophy, Genital Menopause Syndrome: Prevention

To prevent vulvovaginal atrophy/genital menopause syndrome, attention must be paid to reducing individual risk factors. Behavioral risk factors Urethra/bladder Inadequate fluid intake – the better the bladder is “flushed,” the less likely it is to be inflamed Use of vaginal diaphragms (vaginal pessaries; mechanical means of contraception) and spermicides (sperm-killing agents) – this alters the … Vulvovaginal Atrophy, Genital Menopause Syndrome: Prevention

Vulvovaginal Atrophy, Genital Menopause Syndrome: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate Vulvovaginal Atrophy/Genital Menopause Syndrome: Pathognomonic (indicative of a disease) Vaginal dryness Dyspareunia (pain during sexual intercourse). Main symptoms Vaginal dryness (100%) Dyspareunia (78%) Burning (57%) Pruritus (itching) (57%) Dysuria (difficult (painful) urination) (36%) Secondary symptoms Bleeding e.g. During gynecological examinations During intercourse Urge symptoms Urinary incontinence Infections Pollakiuria … Vulvovaginal Atrophy, Genital Menopause Syndrome: Symptoms, Complaints, Signs

Vulvovaginal Atrophy, Genital Menopause Syndrome: Causes

Pathogenesis (disease development) The cause is estrogen deficiency. Estrogen receptors are reduced, atrophy occurs, and loss of function of the external genitalia, vagina, bladder, urethra, and pelvic floor develops; urogenital menopause syndrome develops. Most pronounced and regular, these changes occur during the climacteric/menopause (the time of the last menstrual period). Less pronounced in the puerperium … Vulvovaginal Atrophy, Genital Menopause Syndrome: Causes

Vulvovaginal Atrophy, Genital Menopause Syndrome: Therapy

General measures General measures are in the individual chapters: Urinary incontinence, cystitis (bladder infection), dyspareunia (pain during sexual intercourse), vaginitis colpitis (vaginitis) detailed. Conventional non-surgical therapy methods Conventional non-surgical therapeutic procedures are available for The overall problem of vulvovaginal atrophy, genitourinary menopause syndrome (vulva, vagina, bladder, urethra). As vaginal fractionated laser therapy (vulvovaginal laser therapy). … Vulvovaginal Atrophy, Genital Menopause Syndrome: Therapy

Vulvovaginal Atrophy, Genital Menopause Syndrome: Classification

The following forms are distinguished according to their clinical presentation: Vagina (vaginal) Colpitis (vaginitis)/vaginal ignition Non-infectious colpitis Atrophic colpitis (estrogen deficiency colpitis). Postmenopausal colpitis (colpitis senilis). Postpuerperal colpitis (vaginitis after the puerperium). Vulva (set of external primary sexual organs). Atrophy of the vulva (atrophic vulvitis). lower urinary tract Urinary tract infections (cystitis/cystitis). Acute cystitis Postmenopausal … Vulvovaginal Atrophy, Genital Menopause Syndrome: Classification

Vulvovaginal Atrophy, Genital Menopause Syndrome: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination Inspection (speculum) Vulva (external, primary female sex organs) [fluorine discharge)?, color?, foetor?, inflammation?, … Vulvovaginal Atrophy, Genital Menopause Syndrome: Examination

Vulvovaginal Atrophy, Genital Menopause Syndrome: Test and Diagnosis

Depending on the symptomatology, examinations concerning the bladder, vulva, and vagina and, to clarify menopausal symptoms, hormone status are useful and necessary. Laboratory parameters of the 1st order – obligatory laboratory examinations Bladder/urethra Urinalysis by test strip: A rapid test for nitrite detects nitrite-forming bacteria in the urine, if necessary. [Nitrate detection in urinary tract … Vulvovaginal Atrophy, Genital Menopause Syndrome: Test and Diagnosis

Vulvovaginal Atrophy, Genital Menopause Syndrome: Drug Therapy

Therapeutic target More or less complete and long-term elimination of discomfort in the external genital area, vagina and bladder. Therapy recommendations The therapeutic measures are presented in detail in the following chapters. Bladder/Urethra (Urethra): Dysuria (difficult (painful) urination). Urinary incontinence (bladder weakness) Cystitis (inflammation of the bladder) Vulva/Vagina: Dyspareunia (pain during sexual intercourse). Vaginitis colpitis … Vulvovaginal Atrophy, Genital Menopause Syndrome: Drug Therapy

Vulvovaginal Atrophy, Genital Menopause Syndrome: Medical History

Diagnostic steps include a thorough history, a thorough gynecologic examination, and hormone determinations. A detailed and confirmed diagnosis is a prerequisite for individualized therapy (e.g., physical activity, phytotherapy, hormone therapy). The anamnesis leads the way to the initiation of possible intervention measures. In many cases, the complaint situation provides the essential guidelines for the start … Vulvovaginal Atrophy, Genital Menopause Syndrome: Medical History

Vulvovaginal Atrophy, Genital Menopause Syndrome: Or something else? Differential Diagnosis

Since the differential diagnoses according to the ICD-10 are partly not recorded, e.g. burning sensation, pruritus or only unclear, and clinically not practicable to present, a differential diagnosis under clinically relevant aspects according to symptoms is explained under the item “Further”, whereby a strict separation between vulva and vagina is not possible and also not … Vulvovaginal Atrophy, Genital Menopause Syndrome: Or something else? Differential Diagnosis