title: Lactational atrophic vaginitis.
abstract: Atrophic vaginitis is typically associated with the hypoestrogenic state of menopause. However, lactation also decreases estrogen levels and can cause symptomatic urogenital atrophy. Discussion of this clinical phenomenon in the literature is minimal. A case report of atrophic vaginitis at 13 months postpartum is presented. Mechanisms of action, evaluation, and treatments for lactational atrophic vaginitis are reviewed with recommendations for further research on this topic.
authors.affiliation: Amy Palmer, CNM, MSN, provides full-scope midwifery care in a collaborative MD/CNM practice in Aurora, IN 47001, USA.
authors.forename: Amy R
authors.initials: AR
authors.lastname: Palmer
authors.forename: Frances E
authors.initials: FE
authors.lastname: Likis
mesh_terms: D000328:Adult; D001284:Atrophy; D004967:Estrogens / Q000172:deficiency; D005260:Female; D006801:Humans; D007774:Lactation; D008880:Midwifery / Q000379:methods*; D011644:Puerperal Disorders / Q000175:diagnosis / Q000209:etiology / Q000451:nursing; D013997:Time Factors; D016896:Treatment Outcome; D014627:Vaginitis / Q000175:diagnosis / Q000209:etiology / Q000451:nursing
chemical_list: D004967:Estrogens