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MENOPAUSE PROBLEMS: VAGINITIS PROBLEMS

Posted under Women's Health by admin

Vaginal infections are more common after menopause, probably due to the alteration in acidity of the vagina. Before the menopause the vagina is more acid than alkaline although this varies during menstrual cycle to some degree. When oestrogen levels are high the vagina is more acid, and after the menopause the alkalinity therefore increases. With high oestrogen levels the lining of the vagina is also thick and moist, and this, plus the acidity, protects the vagina from harmful bacteria. Bacteria may migrate from surrounding areas, such as the rectum or bladder, or may be introduced during intercourse. Most women at some time in their lives before menopause have had a vaginal infection. Particularly, these occur during or after a course of antibiotics, because the antibiotics alter the normal bacterial inhabitants of the vagina, and make foreign bacteria happier there, and they multiply. After the menopause some women get one infection after another due to the low oestrogen levels, and also the thinning of the vaginal mucosa.

Prevention The genital region should be kept as dry and well-aired as possible, therefore cotton pants should be worn. Synthetics keep the area moist and warm and should not be worn. Tight jeans should be avoided particularly in hot weather, as also should pantyhose. Wiping yourself from front to back after urinating and bowel movements, or simply dabbing to dry oneself and avoiding courses of antibiotics – these are preven-’ tive measures to keep in mind. Do not douche as this destroys the normal bacteria and makes the vagina more prone to infection.

Oestrogens are useful as the vaginal wall becomes thicker, moister and more acid when they are present. They may be given orally or locally as a cream or pessary.

Medication If you have an infection and medication is prescribed by your doctor, it is important to complete the whole course as prescribed, or the infection may recur and become chronic.