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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Vaginal Atrophy

I have been dx with severe vaginal atrophy since 2011. I have severe daily pain and burning. Nothing seems to be helping. my gyn gave me Estrace cream. the first time I used it I woke from sleep with severe pelvic pain and vaginal burning, now it only helps a little. I also have had chronic blephritis for same # or years. I just found out I have a pituitary mass that was overlookeked in 2010 when I got a mri for my neck. I was sent for a ct- scan 0f brain, can a pituitary mass cause some of these problems? I am also tired 24/7. please help. Thank You
Fri, 3 May 2024
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General & Family Physician 's  Response
Hello,

Get a biopsy done so that treatment of the pituitary tumor can be started. Pituitary tumor is treated with medications, surgery or radiation therapy depending on the stage and severity of the pathology detected. It does not directly cause vaginal atrophy, but dysfunction of the pituitary can affect the estrogen production or secretion and hence cause vagina to atrophy.

Severe vaginal atrophy is treated with topical vaginal creams and lubricants. Take vitamin E capsules, once daily for 10 days. You will feel better. Apply vaginal moisturizers (Replens) to restore some moisture to your vaginal area. Moisturizers last longer than the lubricants.

Applying water-based lubricants before penetrative sex is helpful. Applying vaginal estrogen suppositories and vaginal estrogen tablets, like vagifem are equally effective. Your treating doctor may recommend treatment with vaginal dilators, to help the stretch of vagina.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K, General & Family Physician
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Suggest Treatment For Severe Vaginal Atrophy

Hello, Get a biopsy done so that treatment of the pituitary tumor can be started. Pituitary tumor is treated with medications, surgery or radiation therapy depending on the stage and severity of the pathology detected. It does not directly cause vaginal atrophy, but dysfunction of the pituitary can affect the estrogen production or secretion and hence cause vagina to atrophy. Severe vaginal atrophy is treated with topical vaginal creams and lubricants. Take vitamin E capsules, once daily for 10 days. You will feel better. Apply vaginal moisturizers (Replens) to restore some moisture to your vaginal area. Moisturizers last longer than the lubricants. Applying water-based lubricants before penetrative sex is helpful. Applying vaginal estrogen suppositories and vaginal estrogen tablets, like vagifem are equally effective. Your treating doctor may recommend treatment with vaginal dilators, to help the stretch of vagina. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician