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Managing urogenital atrophy
Maturitas, 08/17/09
Palacios S – The objective of this review is to provide a practical guide on the diagnosis and clinical management of urogenital atrophy.
Methods- A literature search was done in Medline (1969–2008) for original reports, meta–analysis and guidelines in English on urogenital atrophy.
- This is a common menopausal problem and is caused by oestrogen deficiency.
- 15% of pre–menopausal women and 40–57% of post–menopausal women have symptoms resulting from urogenital atrophy.
- Less than 25% of these women receive medical care.
- Lubricants are temporary measures to relieve vaginal dryness during intercourse and moisturizers give longer symptomatic relief.
- Oestrogen given systemically or locally in all dosage regimens is effective, but topical vaginal application alone is preferred if systemic treatment is not needed.
- Treatment is long term and may be required for many years.
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