What are severe vaginal atrophy complications?
Severe vaginal atrophy can lead to painful intercourse, chronic pelvic pain, frequent urinary tract infections, bleeding, narrowing of the vaginal canal, and a significant impact on quality of life.
Detailed Medical Explanation
Untreated atrophy may result in significant tissue damage, including fissures, recurrent infections, urethral symptoms, narrowing (stenosis) of the vaginal canal, and even prolapse complications. Emotional and sexual wellbeing are often severely affected. Prompt recognition and management are key. NHS: Vaginal Atrophy Complications.
Clinical Context
Women with severe symptoms benefit from a multidisciplinary approach, including gynaecologists, pelvic floor therapists, and psychosexual support.
Evidence-Based Approaches
Guidelines urge early and active treatment to prevent escalation to severe complications. RCOG: Severe GSM.