Genitourinary menopausal syndrome – problem for women of elegant age and not only
Keywords:genitourinary menopausal syndrome, vulvovaginal atrophy, estriol, Ovestin®
Urogenital disorders are caused by atrophic and degenerative processes in estrogen-dependent tissues (bladder, urethra, vagina), as well as ligaments and the pelvic muscles, and lead to a disorders in the sexual sphere of women. Unlike classic menopausal symptoms – hot flushes, which regress after 5–10 years after menopause, vulvovaginal atrophy symptoms in most women of the menopausal period are progressing.
Experts of the International Society for the Study of Women’s Sexual Health (ISSWSH) and North American Menopause Society (NAMS) proposed to replace the currently used term “vulvovaginal atrophy” with the term “genitourinary menopausal syndrome”. The processes of urogenital aging are developing in two directions: development of atrophic vaginitis and development of atrophic cystourethritis with disorders of urination control or without it.
Estrogen therapy is the standard pathogenic treatment for this disease. Because of the possible risks of systemic hormone replacement therapy, topical estrogen application in women with genitourinary menopausal syndrome is a more acceptable and allows treating women older than 60 or 10 years after menopause.
A study to examine the effectiveness of estriol-containing drug for topical treatment of vulvovaginal atrophy was performed. The study included 30 patients aged over 50 years.
Intravaginal treatment of atrophic vaginitis with estriol (Ovestin® drug) was carried out as monotherapy duration of 30 days. Evaluation of efficacy and safety of treatment was based on the dynamics of clinical, microbiological, colposcopic, colpocytologic data and ultrasound screening of endometrium thickness before and after the end of therapy.
The results showed high efficacy and safety of topical therapy of atrophic processes in the lower genital tract with estriol (Ovestin® drug). This allows us to recommend this type of therapy as a method to preserve the health of postmenopausal women and significantly improve their life quality.
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