Gyne Update:(Dr Maninder Ahuja, Secretary General IMS)
Atrophic vaginitis is an epidemic in postmenopause, but it is underreported and undertreated. Some women may attempt to cope with symptoms by using lubricants and moisturisers; however, these measures only provide temporary relief from symptoms without treating the underlying cause of the condition. Treating with low doses of estrogen given directly into the vagina is the most logical and effective method, and the response can be very rewarding. However, as it is a chronic condition, long-term treatment is required, otherwise symptoms may return. Concerns about possible risks of hormone replacement therapy are not relevant for local estrogen treatment.