阴道萎缩治疗

水或硅树脂润滑剂是密苏里州之一st common solutions for women who experience vaginal pain and dryness during sex that accompanies VA. When it comes to choosing a formula, “I would just say that whatever women find works for them and they don’t react to as is ideal,” says Stephanie Faubion, M.D., professor and chair of the department of medicine at Mayo Clinic in Jacksonville, FL, and medical director for The North American Menopause Society. To help ensure that second point, she says to look for one without glycerin, parabens, or petroleum.

就像你身体其余的乳液一样，阴道保湿剂补充皮肤的水分。这些生物粘附治疗与该地区绑定，所以他们保持放置。根据需要，每隔几天达到每隔一天，“我告诉患者定期使用它，并在淋浴后把它放在淋浴后，”弗吉尼亚博士说。

对VA的主要治疗解决了它发生的主要原因 - 通过局部激素将雌激素添加回到该地区的雌激素中的雌激素。“There are many types of topical estrogens including creams, gels, and sprays,” says Brittany Robles, M.D., an obstetrician-gynecologist at Wyckoff Hospital in Brooklyn, NY, but when it comes to which one to use, “there isn't any particular reason why one would be selected over another. They are all equally effective,” she says. It all comes down to patient preference. Talk to your doctor about which one might be a good treatment for you.

OSPemifene（osphena），口服选择性雌激素受体调节剂（SERM）药物在2019年批准，通过有助于增加阴道壁厚，治疗性交过程中的疼痛。询问您的医生如果对您是一个很好的选择，因为它不推荐患有某些癌症历史的人，常果博士指出，它具有略有增加的血栓的风险。

当在睡前每天一次滑动时，PrastOne（内瘤），处方阴道栓剂，给您一剂脱氢硫代酮酮。还已知DHEA，这是一种内源性类固醇激素前体，可帮助身体产生雌激素（在其他激素中）。在发表的一项研究中The Journal of Sexual Medicine，研究人员发现，在使用12周后，它减少了中度至更年期后期后期性疼痛。如果您在服用之前患有癌症或母乳喂养，请务必告诉您的医生。

While topical estrogen (known as “local therapy” because they’re not absorbed by the whole body) is often enough to help women with VA, for people who just aren’t getting enough help from those creams and gels and/or who experience vasomotor symptoms of menopause like hot flashes and night sweats, systemic hormone therapy (which goes throughout the body, not just the vagina) might be prescribed. Also known as hormone replacement therapy, according to Dr. Robles, your doctor may prescribe you progesterone to, she explains, “help balance out the hormonal effects.”

骨盆楼层康复和扩张器的物理治疗（PT）可能会有所帮助。“如果你有盆底肌肉，因为持续的痛苦而真正紧张而嫩，那些肌肉只是一个紧的球，”弗吉尼奇博士说。与治疗师一起，您可以轻轻地伸展那些组织并放松肌肉。如果他们可以推荐一个好的PT，请询问你的医生。

While to date there are no vaginal laser devices or procedures cleared by the U.S. Food and Drug Administration for vaginal atrophy, it’s a treatment to look for in the future. “There are studies that are out there that are promising,” Dr. Faubion says. “We just don’t have long-term data on safety or advocacy.” Keep your eyes open for more research on these lasers, including the fractional CO2 laser.

虽然这么大的重点在治疗一对夫妇中经常去妇女与VA妇女，但也应该考虑对伙伴方面的任何疑虑。在异性恋关系中，“确保你的伴侣被治疗勃起功能障碍非常重要，”弗吉尼奇博士说。“它可以使情况变得更糟，因为他将使用摩擦来维持他的勃起。”哎哟。所以，你的家伙也得到了检查。