Samuels, MD, FACS and Lori Warren, MD, FACOG have been selected by Syneron-Candela[R] to conduct a study looking at the efficacy of treating post-menopausal female patients who have symptoms of atrophic vaginitis
(dryness, itching, burning, vaginal tightness or looseness, pain with intercourse, or lack of sexual desire) with the versatile CO2RE fractional CO2 laser.
Up to 40 percent of postmenopausal women have symptoms of atrophic vaginitis
is irritation of the delicate tissues internally.
Nineteen healthy postmenopausal women with atrophic vaginitis
received a suppository of 1 mg estriol and 30 mg of progesterone.
SAN ANTONIO--Vaginal estrogens for the treatment of atrophic vaginitis
result in significant systemic absorption, leading to increased serum estradiol levels that are of concern in breast cancer survivors, a study shows.
SAN ANTONIO -- Vaginal estrogens for treatment of atrophic vaginitis
result in significant systemic absorption, leading to increased serum estradiol levels that are of concern in breast cancer survivors, a study indicates.
Pelvic and rectal examination to identify physical features that may directly affect urinary incontinence: prolapsed uterus or bladder, prostate enlargement, significant constipation or fecal impaction, use of a urinary catheter, atrophic vaginitis
, distended bladder, bladder spasms
Factors that can put postmenopausal women at greater risk include incontinence, prolapse, atrophic vaginitis
, and prior UTIs.
Assessment should include factors that cause transient/reversible incontinence (such as urinary tract fection, urinary retention, dehydration, delirium, restricted mobility, atrophic vaginitis
, urethritis, fecal impaction, ai polypharmacy).
Pelvic examination should identify presence of atrophic vaginitis
(dry, pale vaginal mucosa), pelvic pro-lapse (cystocele, enterocele, vaginal vault prolapse, or rectocele), vaginal lesions, cervical or uterine masses, and pelvic floor tone.
The examination should include: (1) assessment for neurologic diseases (stroke, dementia, Parkinson's disease, hydrocephalus, multiple sclerosis, spinal cord injury, peripheral neuropathies, and tumors) and mental evaluation; (2) identification of general medical illnesses (heart failure, orthostatic hypotension, arthritis, peripheral vascular insufficiency, constipation, diabetes); and (3) pelvic examination to assess atrophic vaginitis
, pelvic mass, pelvic-floor muscle strength, pelvic organ prolapse; palpation of the anterior vaginal wall and urethra to elicit urethral discharge or tenderness; and rectal examination for skin irritation, symmetry of gluteal creases, perineal sensation, tone and voluntary control of the anal sphincter, rectal masses, and prostatic enlargement.
Physical findings among the women included 68 cases of vaginismus, 1 case of vaginal agenesis, and 6 cases of atrophic vaginitis