How is vaginal atrophy diagnosed by doctors?
Doctors diagnose vaginal atrophy based on a woman’s symptoms and a pelvic examination. They look for signs such as thinning, dryness, and fragility of the vaginal tissues.
Detailed Medical Explanation
The diagnosis is mostly clinical—based on medical history (menopause, symptoms) and physical findings (pale, smooth, dry, or easily torn tissue). Sometimes additional tests are ordered to rule out infection or other causes, but these are rarely needed for straightforward cases. NHS: Diagnosis of Atrophy.
Clinical Context
GPs, menopause specialists, and gynaecologists all diagnose and manage vaginal atrophy. Most women do not need invasive tests.
Evidence-Based Approaches
UK and international guidelines recommend diagnosis by history and exam, with tests reserved for unclear cases. RCOG: Diagnosis of GSM.