There is only a certain group of women who have to worry about atrophic vaginitis. This type of vaginitis is caused by the normal hormonal changes that occur as you age as well as decreased estrogen production. These tend to lower the production of the natural secretions that keep the vagina lubricated. Up to 40% of post-menopausal women will have this disorder. It is often accompanied by pelvic floor weakness and other genitourinary symptoms that predispose you to urinary tract infections. These other disorders should be ruled out by your doctor with a test. Atrophic vaginitis is a disorder that causes vaginal dryness and thinning of the vaginal mucosa. This causes itchiness and painful intercourse. This can happen outside of normal menopause when a women gets sent into premature menopause by removal of the ovaries for other conditions. You can treat this type of vaginitis with oral hormone replacement therapy (HRT). This will replenish the hormones that you lose when you go through menopause.  HRT is taken daily in pill form. An alternative to HRT is called Osphena, taken once a day to treat vaginitis. Estrogen creams can also be used to help with the symptoms of this condition. This cream is absorbed into the skin when you apply it to the vaginal area. This helps produce its effects and treat the symptoms concentrated in your vaginal region. Similar to any other contact or allergic dermatitis, this kind of vaginitis is an allergic reaction. Instead of presenting symptoms elsewhere, the skin of your vagina reacts instead. This can be caused by the detergent you used to wash your underwear, a douche, a condom, a lubricant, or any other product that comes into contact with the area.  To treat contact dermatitis vaginitis, you should remove the object that is causing the issue. This may take some investigation, but you should try to find what you are allergic to as soon as possible to relieve the symptoms. You can then use steroid creams that are available over the counter, such as hydrocortisone cream 1%, and apply them to the area twice a day for five days. This will reduce the signs of itchiness and inflammation. You can also take antihistamines such as Zyrtec or Claritin to help with the reaction. Take one 10 mg tablet daily.  In severe cases, you may want to see a physician for a prednisone taper to get immediate relief.
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