What tests confirm vaginal atrophy?
Most cases of vaginal atrophy are diagnosed by symptoms and examination alone. Tests such as vaginal pH measurement, vaginal maturation index, or swabs may be used if the diagnosis is unclear or to rule out infection.
Detailed Medical Explanation
Typical tests include:
- Vaginal pH: A pH above 5 is suggestive of atrophy postmenopause.
- Vaginal maturation index (VMI): Lab assessment of cell types can confirm low oestrogen effect.
- Swabs: To exclude infection if there are unusual symptoms or discharge.
Most women do not need laboratory confirmation unless symptoms are unexplained or treatment fails. NHS: Atrophy Diagnosis.
Clinical Context
In clinical practice, diagnosis is mainly visual and symptom-based, with tests reserved for complex cases.
Evidence-Based Approaches
Guidelines recommend targeted testing only if symptoms are atypical or non-responsive. RCOG: Testing GSM.