Keywords
postmenopause, estriol, non hormonal treatment, menopausal hormone therapy, atrophic vaginitis, genitourinary menopausal syndrome, vaginal health index, dyspareunia, treatment, non hormonal cream
Abstract
Most women in the peri and postmenopausal period have atrophic changes in the tissues of the vulva and vagina. Atrophic vaginitis negatively affects the quality of life, sexual desire, and self confidence. Menopausal hormone therapy with estrogens for atrophic changes is recognized as the "gold standard". For women with contraindications or hormone intolerance, as well as those wishing to avoid hormone therapy, non hormonal therapy to eliminate local symptoms may be an alternative to the use of estrogens per vaginam and reduce the symptoms of atrophic vaginitis in postmenopausal women.