Why it’s time to rethink treatment of atrophic vaginitis

The evidence suggests a cheap lubricant is the place to start

New evidence shows oestradiol pessaries and over-the-counter vaginal moisturisers don’t work any better than a simple silicone lubricant in treating postmenopausal vulvovaginal symptoms.

lubricant

The latest findings call into question recommendations for treatment of genitourinary and vulvovaginal atrophy, which focus primarily on the use of low-dose vaginal oestrogen and polycarbophil vaginal moisturisers.

They also contradict previous randomised controlled trials, which found low-dose vaginal oestrogen therapy resulted in a greater decrease in symptom severity than placebo.

In the

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