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12 nov 2015 · Urogenital atrophy Thinning and shrinking of the tissues of the vulva, vagina, urethra and bladder caused by oestrogen deficiency.
- Recommendations
- Who Is It for?
- Is This Guideline Up to Date?
The guideline includes recommendations on: 1. individualised care 2. diagnosis of perimenopause and menopause 3. information and advice 4. managing short-term menopausal symptoms 5. long-term benefits and risks of hormone replacement therapy 6. diagnosing and managing premature ovarian insufficiency
Healthcare professionals who care for women in menopause.Women in menopause, and their families and carersWe checked this guideline in December 2019 and September 2021, and are updating it. The update will focus on managing urogenital atrophy, the long-term benefits and risks of hormone replacement therapy, and cognitive behavioural therapy for managing menopausal symptoms. See the guideline in development pagefor progress on the update.
2 apr 2019 · consider treating vaginal atrophy with topical oestrogen. explain that more than 1 pessary fitting may be needed to find a suitable pessary. discuss the effect of different types of pessary on sexual intercourse . describe complications including vaginal discharge, bleeding, difficulty removing pessary and pessary expulsion
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Diagnosis of menopause and perimenopause. Menopause: When should I suspect a diagnosis of menopause or perimenopause? Last revised in September 2022. Suspect a diagnosis of perimenopause if: There is an initial change to the menstrual pattern — the menstrual cycle length may shorten to 2–3 weeks or lengthen to many months.
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Vaginal atrophy — trauma, infection, or lichen sclerosis may cause similar symptoms. The following symptoms associated with the menopause may also be caused by other conditions: Urinary incontinence — this is more likely to be due to mechanical factors, such as obesity, gynaecological surgery, or multiparity, than the menopause.
