An inflammation or irritation of the vagina caused by thinning and shrinking of the tissues of the vagina and decreased lubrication of the vaginal walls. This is due to a lack of estrogen. Causes, Incidence and Risk Factors Atrophic vaginitis is typically caused by a decrease in estrogen, as normally occurs after menopause .
Some women experience it immediately after childbirth.
A pelvic examination reveals thin, pale vaginal walls. Hormonal studies may be done if menopausal status is uncertain. Treatment Topical estrogen creams may be used vaginally or oral estrogen replacement therapy may be initiated. Usually this is effective in overcoming the problem. Painful sexual intercourse may be helped by using a water-soluble vaginal lubricant.