How to Say It: a-TRO-fic va-gin-I-tis
by Cynthia M. Johnson, MA
Atrophic vaginitis is when the tissues that line the vagina become thin, dry, and inflamed. It is most common in women who have gone through menopause.
This problem happens when there is a lack of estrogen in the body. This hormone helps keep the skin of the vagina healthy and moist.
Low estrogen levels are common after menopause. A woman’s ovaries make the hormone until menopause, which happens at about 52 years of age. After menopause, the vaginal walls become thin and less moist.
Other things that may lower estrogen and raise the risk of this problem are:
Some women do not have symptoms. Others may have:
You will be asked about your symptoms and health history. A physical exam will be done. A pelvic exam may also be done. This is often enough to make the diagnosis. Vaginal fluids may be tested to confirm it.
The goal of treatment is to ease symptoms. This can be done with:
Regular sexual activity can also promote vaginal health by improving blood flow.
There are no known methods to prevent this health problem.
American Congress of Obstetricians and Gynecologists
Office on Women's Health—US Department of Health and Human Services
The Canadian Women's Health Network
Women's Health Matters
American College of Obstetricians and Gynecologists (ACOG). Practice Bulletin No. 141: management of menopausal symptoms. Obstet Gynecol. 2014 Jan;123(1):202-16, correction can be found in Obstet Gynecol. 2016 Jan;127(1):166.
Atrophic vaginitis. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/atrophic-vaginitis. Accessed August 4, 2020.
Last reviewed March 2020 by EBSCO Medical Review Board Beverly Siegal, MD, FACOG
Last Updated: 2/24/2021
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at firstname.lastname@example.org. Our Health Library Support team will respond to your email request within 2 business days.