Can early menopause cause severe vaginal atrophy?
Yes, early menopause (before age 45) increases the risk of developing severe vaginal atrophy because oestrogen deficiency lasts longer and starts at a younger age.
Detailed Medical Explanation
Women who experience menopause early or prematurely have lower oestrogen for a greater proportion of their lives. This increases the risk of developing severe symptoms of vaginal atrophy and may require earlier and more sustained treatment. Hormone therapy is often considered unless contraindicated. NHS: Early Menopause Risks.
Clinical Context
We carefully monitor and support women with early menopause, as symptoms can be more intense and long-lasting. Early intervention is key for quality of life.
Evidence-Based Approaches
Guidelines support the use of hormone therapy for most women with early menopause unless there are specific risks. RCOG: Early Menopause Guidance.