MENOPAUSE

Atrophic vaginitis

Atrophic vaginitis is experienced by around 50% of postmenopausal women with a host of symptoms including vaginal dryness and irritation, burning and itching. Declining oestrogen levels affect vaginal flora allowing bacteria to proliferate, causing a vaginal discharge. Lower oestrogen levels are related to increased urinary tract infections as the walls of the urethra and bladder become thinner.

Prolapse

Pelvic organ prolapse (POP) affects 50% of childbearing women. The pelvic organs are supported by the pelvic floor muscles (PFMs) and their intact attachments to the endopelvic facsia. POP occurs when an organ(s) slips down or herniates into the vaginal walls.

Pessaries

A vaginal pessary is a medical grade plastic ring shaped device that is inserted high up vaginally to support the uterus, vagina, bladder and bowel. It provides effective non-surgical management of pelvic organ prolapse (POP). When properly fitted the pessary can simulate the result of surgical correction of prolapse.

Urethral diverticulum

Clinical lack of awareness about urethral diverticulum has lead to this relatively common condition remaining under-diagnosed in women with chronic genitourinary conditions. Women with recurrent infections, retro pubic pressure, urethral pain, delayed voiding, frequency urgency, post-void dribbling and painful sex (without vaginal infection) are often given the blanket diagnosis of 'urethral syndrome'.

Sexuality

Western women spend approximately one third of their lives in post menopause and some find their sexuality is adversely affected. Many different issues influence whether a post-menopausal women retains her sexual interest and pleasure in sexual activity.