The most bothersome symptom of vaginal atrophy: Evidence from the observational AGATA study.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Author(s): Palma F;Palma F; Xholli A; Xholli A; Cagnacci A; Cagnacci A
  • Source:
    Maturitas [Maturitas] 2018 Feb; Vol. 108, pp. 18-23. Date of Electronic Publication: 2017 Nov 10.
  • Publication Type:
    Journal Article; Multicenter Study; Observational Study
  • Language:
    English
  • Additional Information
    • Corporate Authors:
      as the writing group of the AGATA study
    • Source:
      Publisher: Elsevier/North Holland Biomedical Press Country of Publication: Ireland NLM ID: 7807333 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4111 (Electronic) Linking ISSN: 03785122 NLM ISO Abbreviation: Maturitas Subsets: MEDLINE
    • Publication Information:
      Publication: Limerick : Elsevier/North Holland Biomedical Press
      Original Publication: Amsterdam, Elsevier/North Holland Biomedical Press.
    • Subject Terms:
      Postmenopause*; Dyspareunia/*epidemiology ; Dysuria/*epidemiology ; Vagina/*pathology ; Vaginal Diseases/*epidemiology; Aged ; Atrophy/epidemiology ; Atrophy/pathology ; Cross-Sectional Studies ; Dyspareunia/pathology ; Dysuria/pathology ; Female ; Humans ; Middle Aged ; Prevalence ; Quality of Life ; Vaginal Diseases/pathology
    • Abstract:
      Objectives: Vaginal atrophy (VA) is a chronic medical condition. It is managed unsatisfactorily, despite its high prevalence and negative impact on female quality of life. In order to meet their needs, it would be useful to know what women perceive to be the most bothersome symptom (MBS) of VA.
      Study Design: Cross-sectional, multicenter study of 913 postmenopausal women consulting 22 gynecological outpatient services.
      Main Outcome Measures: Prevalence of the MBS perceived by postmenopausal women of different age and vaginal condition.
      Results: Vaginal dryness was the most prevalent MBS (54.4%), followed by dyspareunia (17.6%), itching (7.8%), dysuria (5.9%) and burning (2.0%). The prevalence of vaginal dryness as the MBS increased with years since menopause, while that of itching, dysuria and burning remained approximately constant over time. The prevalence of dyspareunia as the MBS was 26.2% in the first 6 years after menopause and declined thereafter, to 8.8%.
      Conclusions: Among all postmenopausal women vaginal dryness per se, independent of dyspareunia, is the most commonly reported MBS. In each woman, the identification of the MBS may help to define more appropriate VA management.
      (Copyright © 2017. Published by Elsevier B.V.)
    • Contributed Indexing:
      Keywords: Dyspareunia; Genitourinary syndrome of menopause; Menopause; Post-menopause; Vaginal dryness
    • Publication Date:
      Date Created: 20180102 Date Completed: 20180613 Latest Revision: 20181202
    • Publication Date:
      20231215
    • Accession Number:
      10.1016/j.maturitas.2017.11.007
    • Accession Number:
      29290210