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Multidisciplinary Overview of Vaginal Atrophy and Associated Genitourinary Symptoms in Postmenopausal Women

INTRODUCTION: Vaginal atrophy, which may affect up to 45% of postmenopausal women, is often associated with one or more urinary symptoms, including urgency, increased frequency, nocturia, dysuria, incontinence, and recurrent urinary tract infection. AIMS: To provide an overview of the current litera...

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Autores principales: Goldstein, Irwin, Dicks, Brian, Kim, Noel N, Hartzell, Rose
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4184497/
https://www.ncbi.nlm.nih.gov/pubmed/25356287
http://dx.doi.org/10.1002/sm2.17
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author Goldstein, Irwin
Dicks, Brian
Kim, Noel N
Hartzell, Rose
author_facet Goldstein, Irwin
Dicks, Brian
Kim, Noel N
Hartzell, Rose
author_sort Goldstein, Irwin
collection PubMed
description INTRODUCTION: Vaginal atrophy, which may affect up to 45% of postmenopausal women, is often associated with one or more urinary symptoms, including urgency, increased frequency, nocturia, dysuria, incontinence, and recurrent urinary tract infection. AIMS: To provide an overview of the current literature regarding cellular and clinical aspects of vaginal atrophy and response to treatment with local vaginal estrogen therapy. METHODS: PubMed searches through February 2012 were conducted using the terms “vaginal atrophy,” “atrophic vaginitis,” and “vulvovaginal atrophy.” Expert opinion was based on review of the relevant scientific and medical literature. MAIN OUTCOME MEASURE: Genitourinary symptoms and treatment of vaginal atrophy from peer-reviewed published literature. RESULTS: Typically, a diagnosis of vaginal atrophy is made based on patient-reported symptoms, including genitourinary symptoms, and an examination that reveals signs of the disorder; however, many women are hesitant to report vaginal-related symptoms, primarily because of embarrassment. CONCLUSIONS: Physicians in various disciplines are encouraged to initiate open discussions about vulvovaginal health with postmenopausal women, including recommended treatment options. Goldstein I, Dicks B, Kim NN, and Hartzell R. Multidisciplinary overview of vaginal atrophy and associated genitourinary symptoms in postmenopausal women. Sex Med 2013;1:44–53.
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spelling pubmed-41844972014-10-29 Multidisciplinary Overview of Vaginal Atrophy and Associated Genitourinary Symptoms in Postmenopausal Women Goldstein, Irwin Dicks, Brian Kim, Noel N Hartzell, Rose Sex Med Review INTRODUCTION: Vaginal atrophy, which may affect up to 45% of postmenopausal women, is often associated with one or more urinary symptoms, including urgency, increased frequency, nocturia, dysuria, incontinence, and recurrent urinary tract infection. AIMS: To provide an overview of the current literature regarding cellular and clinical aspects of vaginal atrophy and response to treatment with local vaginal estrogen therapy. METHODS: PubMed searches through February 2012 were conducted using the terms “vaginal atrophy,” “atrophic vaginitis,” and “vulvovaginal atrophy.” Expert opinion was based on review of the relevant scientific and medical literature. MAIN OUTCOME MEASURE: Genitourinary symptoms and treatment of vaginal atrophy from peer-reviewed published literature. RESULTS: Typically, a diagnosis of vaginal atrophy is made based on patient-reported symptoms, including genitourinary symptoms, and an examination that reveals signs of the disorder; however, many women are hesitant to report vaginal-related symptoms, primarily because of embarrassment. CONCLUSIONS: Physicians in various disciplines are encouraged to initiate open discussions about vulvovaginal health with postmenopausal women, including recommended treatment options. Goldstein I, Dicks B, Kim NN, and Hartzell R. Multidisciplinary overview of vaginal atrophy and associated genitourinary symptoms in postmenopausal women. Sex Med 2013;1:44–53. Blackwell Publishing Ltd 2013-12 2013-10-22 /pmc/articles/PMC4184497/ /pubmed/25356287 http://dx.doi.org/10.1002/sm2.17 Text en © 2013 The Authors. Sexual Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Sexual Medicine. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Review
Goldstein, Irwin
Dicks, Brian
Kim, Noel N
Hartzell, Rose
Multidisciplinary Overview of Vaginal Atrophy and Associated Genitourinary Symptoms in Postmenopausal Women
title Multidisciplinary Overview of Vaginal Atrophy and Associated Genitourinary Symptoms in Postmenopausal Women
title_full Multidisciplinary Overview of Vaginal Atrophy and Associated Genitourinary Symptoms in Postmenopausal Women
title_fullStr Multidisciplinary Overview of Vaginal Atrophy and Associated Genitourinary Symptoms in Postmenopausal Women
title_full_unstemmed Multidisciplinary Overview of Vaginal Atrophy and Associated Genitourinary Symptoms in Postmenopausal Women
title_short Multidisciplinary Overview of Vaginal Atrophy and Associated Genitourinary Symptoms in Postmenopausal Women
title_sort multidisciplinary overview of vaginal atrophy and associated genitourinary symptoms in postmenopausal women
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4184497/
https://www.ncbi.nlm.nih.gov/pubmed/25356287
http://dx.doi.org/10.1002/sm2.17
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