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 (frequent urination)
- Recurrent (recurrent) urinary tract infections.
- Descensus symptoms
Examination findings
- Mucosal dryness 99%
- Thinning of the vaginal rugae (vaginal folds) 92 %.
- Paleness of the mucous membrane 91 %
- Mucosal vulnerability 72 %
- Petechiae (fleabite-like bleeding) 47 %
Warning signs (red flags)
- Climacteric complaints
