1. Joint recommendations for the diagnosis and treatment of vulvo-vaginal atrophy in women in the peri- and post-menopausal phases from the Società Italiana per la Menopausa (SIM) and the Società Italiana della Terza Età (SIGiTE)
- Author
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Cagnacci, A., Gallo, M., Gambacciani, M., Lello, S., Volpe, A, Lanzone, A, Di Carlo, C, De Leo, V, Biglia, N, Caruso, S, Cicinelli, E, Farris, M, Gambera, A, Guaschino, S, Paoletti, Am, Russo, N, Vicariotto, F, Villa, P, Nocera, F, Maffei, S, Pandolfo, M, Ambroggio, S, Grassi, G, De Seta, F, Stomati, M, Gullo, D, Becorpi, A, Cancellieri, F, Fiorillo, F, Del Pup, L, Mapell, C, and Ottanelli, S.
- Subjects
medicine.medical_specialty ,Peri ,Vaginal Diseases ,Post menopausal ,Guideline ,03 medical and health sciences ,Therapeutic approach ,0302 clinical medicine ,Quality of life ,Laser therapy ,Diagnosis ,medicine ,Humans ,Physician-Patient Relations ,030219 obstetrics & reproductive medicine ,Postmenopausal women ,Obstetrics ,business.industry ,Obstetrics and Gynecology ,Atrophy ,Postmenopause ,medicine.disease ,Perimenopause ,Female ,Quality of Life ,Vulvar Diseases ,030220 oncology & carcinogenesis ,Vaginal atrophy ,business - Abstract
Herein, joint recommendations for diagnosis and treatment of vulvo-vaginal atrophy (VVA) in women in the peri- and post-menopausal phases from the Societa Italiana per la Menopausa (SIM) and the Societa Italiana della Terza Eta (SIGiTE) are presented. The recommendations are aimed at all healthcare personnel caring for women in the menopausal transition or postmenopausal phase, and are also intended to raise awareness of VVA. Recent data clearly indicate VVA is a highly prevalent condition among postmenopausal women, and that the vast majority of women with VVA are not adequately treated. In reality, diagnosis of VVA is simple and largely clinical. Many types of treatments are available for VVA, ranging from preventive education measures to local non-hormonal therapies, local agents that modulate hormonal receptors and systemic as well as laser therapy and radiofrequency. Regardless of the therapeutic approach adopted, greater communication between the physician and the woman with VVA should be actively encouraged. This is also in light of the difficulty of talking about the VVA and related disorders. Greater communication also encourages adequate therapy and thus minimizes the impact of VVA on the quality of life of the woman and her partner.
- Published
- 2019