Vaginal dryness, Huge problem of menopause age

Vaginal dryness, Huge problem of menopause age

During teenage, a vagina with good health will have a moisture, elastic, pink thick vaginal wall, and the cervix has a smooth surface with small, wavelike folds along its length. The Topmost Mucosa of vagina has 15% thickness and 5% thickness at the lowermost. Normal vagina will have many kinds of microorganisms with more than billions of them, a healthy vagina will have Döderlein’s bacillus up to 60-80%.

Importance of the estrogen

Estrogen will help strengthen the vaginal wall and bring a balance to the environment inside of the vagina, making the topmost of vagina rich in Glycogen , which is the food of the Lactobacillus . When the glycogen is healthy, it will be able to split itself, which is essential in generating the lactic acid and hydrogen peroxide, including its gathering into biofilm, making the vagina to have acidity at PH=3.8-4.5, which is the condition that help prevent the infecting to various diseases. When aging, the function of estrogen has lowered, causing alkalinity in the vagina to go up to PH 4.5-7. 

Problems of lowered estrogen

1.White, smelly vaginal discharge from infection by the strain that like alkalinity.

2.Thinned vaginal mucosa, which is caused by irritation.

3.Inflammation in bladder , which is vulnerable to infection.

4.Feel hurts while having sexual activity from thinned vaginal mucosa.

The cause of vagina dryness

1.Imbalance by changes of hormones in vagina

2.Malfunctioned hormones during pregnancy, stress, insufficient rest or overexercise

3.Lack of routinely sexual activity

4.Consuming the medicine that affected to the lactobacillus

5.Recovering of mucosa from inflammation infection treatment

6.Douching in vagina, which is causing the imbalance 

Specific treatment

The treatment can be done by providing hormone replacement, especially those who have complications of menopause. For those who has only issue in vaginal dryness, should be provided the topical hormone, in nowaday, it is estriol (E3) + lactobacilli insert to the vagina and using moisturizer for vagina, which is has polycarbophil that can absorbs to the cervix as a main component, it can add the thickness, moisture and adjusts the appropriate PH balance greatly. Specific treatment is overall working great.

General treatment

1.Drinking water to keep the moisture

2.Destress yourself

3.Routinely do sexual activity

4.Regularly exercise

5.Eating probiotic food such as kimchi, natto to bring the balance in digestive tract

6.Eating isoflavone vegetable and fruit such as soybean, young coconut water, etc.

7.No smoking