Vaginal atrophy: new perspectives for relieving symptoms

What is vaginal atrophy?

This term is used to describe a situation where, following a decrease in estrogen levels, the tissues of the vagina and/or vulva become thinner, losing their suppleness, elasticity, and lubrication. Estrogen, the main female hormone, is responsible for maintaining the thickness and moisture of the vaginal and vulvar walls (see image). This atrophy will result in a range of symptoms for women: dryness, irritation, pain, dyspareunia (pain during sexual intercourse), and sometimes an increased frequency of urination. This can occur at any time in a woman's life , with a significant increase in risk with age. It is estimated that approximately 67 to 98% of women experience vaginal atrophy at menopause. It can also occur in younger women after childbirth, during breastfeeding, when taking certain medications (anti-acne, antihistamine or cancer treatment) or after surgical procedures.

Mechanisms of vaginal atrophy and consequences for women
Traditional treatments

For many years, doctors have recommended oral or topical hormone treatments for vaginal atrophy. This is called "Hormone Replacement Therapy" (HRT). The goal is to compensate for hormonal loss and thus relieve the woman's symptoms . However, these hormonal medications present risks, particularly for some women with a history of cancer or cardiovascular disorders, so it is necessary to consult a doctor before considering them. Other traditional treatments include vaginal lubricants and moisturizers , which are hormone-free and aim to lubricate and relieve the symptoms of vaginal dryness. Among moisturizers and lubricants, those based on hyaluronic acid are highly recommended for their long-lasting, soothing, and moisturizing effects.

The new recommendations

In 2021, the CNGOF (French National College of Gynecologists and Obstetricians) issued new practical recommendations for the management of vaginal atrophy in postmenopausal women. They recommend using local vaginal treatment with lubricants and moisturizers as a first-line treatment and, only later, if symptoms persist , considering hormonal treatment. There are also new alternatives, such as laser therapy, which involves sending micro-pulses to the vaginal walls to stimulate the regeneration of vaginal tissue. However, it should only be considered after a doctor's assessment and after trying lubricant and moisturizer treatments.

Should I stop having sex if I have atrophy?

Natural and alternative solutions

A large number of women are looking for natural solutions to their problem of vaginal atrophy, alternatives to oral or local hormonal treatments, which they cannot or do not want to take. It is important to first ensure the safety of use for the woman.1 Do not hesitate to ask your doctor or pharmacist for advice. Among the new local natural treatments, ectoine was the subject of a patent for application in vaginal atrophy in 2019*. This molecule is called "osmoprotective", that is to say that it protects the cells from dehydration . It will protect the mucosa and sustainably restore vulvovaginal hydration in depth, not just on the surface. Its clinical results and its tolerance in patients suffering from dryness make it a good natural alternative.

Natural oral treatments can also be used to care for your intimate area. Examples include borage and fish oils, which are known to reduce skin dryness, and probiotics to improve vaginal flora.

Discover our solution to take care of your intimate area and relieve the symptoms of vaginal atrophy: Ektagyn® oral and Ektagyn vaginal

If you would like advice or would like to ask us a question, please contact us by following this link: https://densmoregynecologie.com/pages/contact

This article is for informational purposes only and does not replace consultation or advice from your doctor. Seek professional advice before starting any dietary supplement.