The irritation, sense of burning and itching, and even pain during sexual intercourse are well-known conditions for many women in menopause. The reason? The so-called vulvovaginal atrophy. In practice, it is a progressive modification of the structure of the vaginal tissue as a consequence of the loss of elasticity of the tissues due to age and, above all, as a result of estrogen deficiency. With the arrival of menopause, in fact, the ovaries stop producing the female hormones that normally allow the vaginal tissue to be lubricated and nourished: their absence thus makes the vaginal mucosa more delicate and thin, and therefore irritable and prone to traumas. Although the disorder affects one in two postmenopausal women, the condition is still poorly understood: many patients do not know that vaginal atrophy is linked to estrogen deficiency in menopause and that the condition, if not treated, is destined to get worse. According to recent statistics, 6 out of 10 women think that the problem will sooner or later pass with age.
INTIMATE ITCHING AND DISCOMFORT IN MENOPAUSE
More specifically, the loss of turgor and hydration produces dryness, laxity with bleeding of the vaginal mucosa with consequences on the genital sensations during intercourse. This in turn can produce a loss of desire and difficulty reaching orgasm. In addition, a shift in vaginal pH can occur towards higher values than normal (which is between 4.5 and 5.5): this causes dysregulation of the vaginal ecosystem with a lowering of the local immune defenses and, therefore, recurrent cystitis, mycosis and bacterial vaginitis. Furthermore, the condition negatively affects the quality of life of the woman, who will tend to avoid intimacy: unfortunately, however, the aversion to relationships causes feelings of rejection in the partner and recurrent quarrels that can cause serious couple crises.
VULVOVAGINAL ATROPHY: THE REMEDIES
Of course, there are therapies to relieve the symptoms of vulvovaginal atrophy: for example, systemic hormone replacement treatment or local vaginal estrogen therapy. But that’s not all: these treatments, which the gynecologist prescribes, are accompanied by non-hormonal lubricants and many local therapies, including natural ones, which guarantee an improvement in vaginal trophism and a reduction in symptoms. For example, creams based on hyaluronic acid and plant-based ingredients favor the repairing processes of microlesions and wounds of the vulvovaginal epithelium. These remedies bring the right amount of water to the tissues, helping to relieve dryness, irritation and inflammation. Thus it improves the elasticity and tone of the vaginal tissues and a moist and lubricated environment is restored. Today the range of local therapies is wide: in this way, even women who cannot use estrogen, due to previous pathologies, can find relief.