Can cancer treatment cause vaginal atrophy?
Yes, cancer treatments such as chemotherapy, pelvic radiation, and some hormone therapies can cause vaginal atrophy by lowering oestrogen levels or damaging vaginal tissues.
Detailed Medical Explanation
Many cancer treatments, especially for breast or gynaecological cancers, suppress oestrogen or directly damage the vaginal lining. Aromatase inhibitors, tamoxifen, chemotherapy, and pelvic radiotherapy are frequent culprits. Symptoms can be significant and may require specialist management. Macmillan: Vaginal Dryness After Cancer.
Clinical Context
Vaginal atrophy after cancer treatment is common and treatable, but options may be limited depending on your cancer history—always discuss with your oncology or menopause specialist.
Evidence-Based Approaches
Guidelines recommend a tailored, multidisciplinary approach for survivors, including non-hormonal treatments and referral as needed. RCOG: Cancer and Vaginal Atrophy.