Occurs in women few years after menopause.
- Lack of oestrogen.
As a result of oestrogen deficiency, the vaginal epithelium become thin and atrophic. The glycogen content and acidity of the vagina is lowered. Hence the local resistance to infection is reduced.
- Injury from a neglected pessary
Symptoms and signs—
- Purulent, offensive, slightly blood- tinged vaginal discharge
- Inflamed, tender vagina with excoriated skin
- Low grade chronic urethritis
- Patchy, granular vaginitis(these red spots may bleed on touching)
- Infection may move upwards(senile endometrium, pyometra)
- Speculum examination
- Vaginal cytology
- Diagnostic curettage
- Biopsy of cervix
- Vaginal cream