Atrophic vaginitis affects many women during menopause, but effective hormonal and non-hormonal treatments can restore comfort, balance, and confidence.
Atrophic Vaginitis and Hormonal Changes: What Every Woman Should Know
If you’ve noticed vaginal dryness, burning, or discomfort during intimacy, you’re not alone. These are common signs of atrophic vaginitis, a condition caused by a drop in estrogen that affects up to half of postmenopausal women. Unfortunately, many women assume these changes are simply “part of getting older” and suffer in silence. The truth is that atrophic vaginitis is both preventable and treatable and understanding how hormonal changes affect your body is the first step to feeling better.
At Grace & Gratitude Wellness, we believe women deserve open, compassionate conversations about vaginal and pelvic health. Here’s what every woman should know about the symptoms, causes, and effective treatment options for atrophic vaginitis.
What Is Atrophic Vaginitis?
Atrophic vaginitis (sometimes called genitourinary syndrome of menopause) occurs when declining estrogen levels cause the vaginal tissues to become thinner, drier, and less elastic. Reduced estrogen also affects the vaginal pH and microbiome, which can lead to irritation and a higher risk of infections.
Common symptoms include:
- Vaginal dryness, burning, or itching
- Painful intercourse (dyspareunia)
- Increased urinary urgency or frequency
- Recurrent urinary tract infections
- Light bleeding or spotting after sex
While this condition is most common after menopause, it can also affect women who are breastfeeding, taking certain medications, or who have undergone surgery that impacts hormone levels.
How Hormonal Changes Affect Vaginal Health
Estrogen plays a key role in maintaining healthy vaginal tissue by promoting blood flow, natural lubrication, and the growth of beneficial bacteria such as Lactobacillus. When estrogen levels decline—whether naturally with age or due to medication—these tissues lose elasticity and hydration.
The drop in estrogen also allows the vaginal pH to rise, making it easier for bacteria or yeast to cause irritation. This imbalance can make everyday activities uncomfortable, from sitting to exercising to intimacy.
During perimenopause, estrogen levels fluctuate wildly, which means symptoms can appear even before your periods stop completely. Recognizing these early changes helps women take action before discomfort worsens.
Treatment Options for Atrophic Vaginitis
The good news? There are many effective ways to treat atrophic vaginitis and improve vaginal comfort. The best approach depends on your symptoms, overall health, and whether you can use hormone-based therapies.
Topical Estrogen Therapy
Prescription estrogen creams, tablets, or vaginal rings deliver low doses of estrogen directly where it’s needed. This localized approach helps rebuild tissue thickness, improve lubrication, and relieve burning or itching without significantly affecting overall hormone levels.
Non-Hormonal Options
For women who can’t or prefer not to use hormones, non-hormonal moisturizers and hyaluronic acid ovules provide hydration and help restore comfort. Hyaluronic acid, a natural compound known for retaining moisture, can plump and soothe vaginal tissue—similar to how it rejuvenates skin.
Laser and Energy-Based Therapies
Emerging treatments like the Diva laser (previously known as MonaLisa Touch) use gentle energy to stimulate collagen and blood flow in vaginal tissue. These therapies can be particularly effective for women who can’t take estrogen due to conditions like breast cancer.
Probiotics and Lifestyle Support
Maintaining a healthy vaginal microbiome is essential. Probiotic supplements or suppositories that contain Lactobacillus strains can help rebalance pH and support natural defenses. Staying hydrated, reducing harsh soaps, and engaging in regular sexual activity or pelvic floor exercises also help keep tissues healthy.
The Role of Pelvic Floor Therapy in Atrophic Vaginitis
Atrophic vaginitis often goes hand-in-hand with pelvic floor tension or weakness, especially after menopause. Pelvic floor therapy can improve blood flow, restore muscle coordination, and reduce pain associated with vaginal dryness or scarring. Therapists may recommend gentle stretching, breathing techniques, and tools such as dilators or wands to maintain elasticity and comfort.
At Grace & Gratitude Wellness, our collaboration with Prime Therapy ensures that women receive comprehensive support—addressing both hormonal and muscular factors contributing to discomfort.
Empowering Women Through Knowledge and Care
No woman should accept pain, dryness, or discomfort as normal. These symptoms are your body’s way of asking for care and balance. Modern medicine offers safe, personalized options that can restore confidence and quality of life at any age.
If you suspect atrophic vaginitis, reach out for a private consultation. You deserve compassionate, evidence-based care designed around your needs.
📍 Visit us in Devils Lake, ND, or explore our services at Grace & Gratitude Wellness.
📞 Call us at (701) 662-2039 to schedule your first session.
