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  • Format: ePub

Vaginal atrophy is a medical disorder that is present when the tissues of the vagina are no longer well-lubricated and healthy.
When these symptoms are produced by a reduced amount of estrogen in a woman's body, this disorder is called atrophic vaginitis.
Atrophic vaginitis happens very frequently in postmenopausal women due to the falling levels of estrogen.
The vaginal mucosa becomes drier, less elastic, thinner and more fragile.
It may cause inflammation of the mucosa.
Alterations in vaginal pH and vaginal flora may induce urinary tract infection (UTI) or vaginal
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Produktbeschreibung
Vaginal atrophy is a medical disorder that is present when the tissues of the vagina are no longer well-lubricated and healthy.
When these symptoms are produced by a reduced amount of estrogen in a woman's body, this disorder is called atrophic vaginitis.
Atrophic vaginitis happens very frequently in postmenopausal women due to the falling levels of estrogen.
The vaginal mucosa becomes drier, less elastic, thinner and more fragile.
It may cause inflammation of the mucosa.
Alterations in vaginal pH and vaginal flora may induce urinary tract infection (UTI) or vaginal infections.
Reduced estrogen levels may affect peri-urethral lining and muscles and lead to pelvic laxity and stress incontinence.
Other reasons may also induce estrogen levels to drop:
1. Medicines or hormones used in the treatment of breast cancer
2. Surgical procedures to remove the ovaries
3. Radiation treatment to the pelvic area
4. Chemotherapy for cancer
5. Severe stress, depression, or intense exercise
The most common symptom is dryness of the vagina.
1. Urinary symptoms - e.g., increased frequency, nocturia, recurrent UTI, dysuria, stress incontinence or urgency, burning on urination
2. Vaginal bleeding or light bleeding after intercourse
3. Painful sexual intercourse
4. Slight vaginal discharge (usually white or yellow).
5. Vaginal soreness, itching or burning
There may be burning or itching of the vagina or vulva.
6. Dyspareunia.
The external genitalia may show reduced pubic hair, reduced turgor or elasticity, and a narrow introitus.
Investigations are:
1. Vaginal pH testing (using pH paper and sampling from the mid-vagina, not the posterior fornix).
2. The result is more alkaline in atrophic vaginitis.
3. Vaginal cytology - can show lack of maturation of the epithelial tissue of the vagina, normally present in atrophic vaginitis.
The principles of treatment are:
1. Restoration of urogenital physiology
2. Relief of symptoms
The effectiveness of lubricants and moisturizers is normally thought to be less than that with using topical estrogens.

TABLE OF CONTENT
Introduction
Chapter 1 Vaginal Atrophy
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Dyspareunia
Chapter 8 Vaginismus
Epilogue


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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...