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Urogenital atrophy


Urogenital atrophy (also known as vulvo-vaginal atrophy or genitourinary syndrome) is a condition caused by the gradual decrease in the production of female sex hormones (estrogens) by the ovaries around and after menopause.



The vulva, vagina (vagina), urethra and bladder are affected.



Reduced levels of estrogens lead to thinning of the tissues around the vulva and vagina, as well as reduced function of the glands that are responsible for their moistening.




There is a general reduction in adipose tissue and turgor in the intimate area, which gives a non-youthful appearance.


As a result of all this, the vaginal canal shortens and loses its elasticity. The vaginal mucosa becomes dry and less lubricated. The skin in the intimate area fades and atrophies. These changes usually take years and show individual differences.


The most common clinical complaints in vaginal atrophy are:

  • Vaginal dryness, burning and itching;
  • Loss of elasticity and tone (known as laxity or vaginal relaxation syndrome);
  • Painful intercourse (dyspareunia);
  • Vaginal or vulvar pain;
  • Mild genital prolapse;
  • Decreased sensitivity in the intimate area and insufficient sexual arousal.

The most common clinical complaints in urethral atrophy are:

  • Mild genital prolapse;
  • Frequent urination;
  • Pain during urination (dysuria);
  • Urinary tract infections;
  • Stress incontinence (involuntary leakage of urine when coughing, sneezing, etc.)


In recent years, a number of completely new, minimally invasive therapies for problems related to urogenital atrophy have been introduced and developed in the field of urogynecology. Various radiofrequency and laser gynecological therapies represent a safe alternative to operative methods, hormonal preparations and some physical therapy procedures.


At MC MARKOVS, you can find the necessary specialists in urogynecology to help you conduct an initial consultation and prepare a treatment plan using the "step-by-step" method. For more information, you can contact your doctor or call MC MARKOVS.