What are the treatments for senile vaginitis?

Patient's question:

Due to the removal of the uterus and ovaries one year ago, a health check-up revealed congestion of the vaginal mucosa, which is diagnosed as senile vaginitis. How should it be prevented and treated?

Doctor's answer:

Atrophic vaginitis, also known as senile vaginitis, is a non-specific type of vaginitis. It commonly occurs in women after menopause, but it can also affect women who have had bilateral oophorectomy or those who are breastfeeding. The principle of treating atrophic vaginitis is to enhance the resistance of the vaginal mucosa and inhibit bacterial growth. Systemic medication can involve taking ethinyl estradiol orally at a dose of 0.25–0.5 mg once daily for 7 days. Sometimes, withdrawal bleeding may occur after taking the medication.

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