Can a pelvic exam detect vaginal atrophy?
Yes, a pelvic exam is the main way doctors detect vaginal atrophy. The doctor looks for thinning, paleness, dryness, and loss of elasticity in the vaginal tissues.
Detailed Medical Explanation
During the pelvic exam, your doctor gently inspects the vaginal walls and vulva for typical signs of atrophy: smooth, pale, or shiny tissues that may be thin or bleed easily. They also assess for narrowing or loss of folds (rugae) and may check pH. No invasive procedures are needed unless another diagnosis is suspected. NHS: Pelvic Exam & Atrophy.
Clinical Context
Pelvic exam is quick and usually painless, but it may cause slight discomfort if tissues are dry or sensitive.
Evidence-Based Approaches
Guidelines recommend a gentle pelvic exam for diagnosis and monitoring of vaginal atrophy. RCOG: Pelvic Exam.