What are the possible causes of senile atrophy of the external genitalia?

Patient's question:

I am a 36-year-old woman, and I went through menopause two years ago. However, recently I have been experiencing intense itching in my external genitalia and around the vaginal opening, and the odor of my discharge is also quite strong. Could you please explain: What are the causes of atrophic vulvitis in older women?

Doctor's answer:

1. Primary external genital atrophy after menopause, ovarian function decline, estrogen level decreases, its target organs also swell.
2. Vulvar leukoplakia is also known as chronic vulvar dystrophy. It is divided into fibrotic type, lichen sclerosus type, and mixed type. Among them, in the lichen sclerosus type, prolonged inflammation leads to the loss of dermal elastic tissue due to fibrosis, resulting in clitoral and labia minora atrophy. Then, patients need to maintain a balanced diet, follow a regular schedule, regulate physical and mental health, and pay attention to keeping a good mood in life. They should eat more light, soft, and liquid foods, drink plenty of water, and consume more vegetables and fruits.

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