How is senile vaginitis treated?

Patient's question:

How is atrophic vaginitis treated in the elderly? My grandmother is already 86 years old this year. I didn't expect that she would get vaginitis at such a high age. I want to ask if surgery is necessary in this case? Because for the elderly, the interference of surgery is particularly great.

Doctor's answer:

Senile vaginitis is caused by a decline in estrogen levels after the decline of ovarian function, leading to thinning of the vaginal mucosa and reduced local resistance, which allows pathogenic bacteria to overgrow and cause inflammation. The main principle of treatment is to supplement estrogen, enhance vaginal resistance, and use antibiotics to inhibit bacterial growth. Common treatments include estrogen-containing medications and antibiotics. If dryness is significant, lubricants can also be tried. Vaginitis greatly affects patients, so it is important to seek medical attention promptly upon noticing symptoms. Additionally, patients should focus on self-care, such as eating more fruits and vegetables and avoiding irritating foods. It is hoped that patients with vaginitis can receive professional treatment.

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