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Includes Expert Content
Vaginal infections
An_255672 posted:
Is it common for a woman who has gone through menopause to get more vaginal infections??? I am 55 yrs. old and not sexually active but am currently on hormones but slowly coming off of them and in the last year have had 2 bacterial vaginal infections. Needless to say I'm baffled why this is happening!!
Mary Jane Minkin, MD responded:
Dear An_255672 and mcpo1,
I have to answer this with some physiology, When the vaginal tissue gets dry from a lack of estrogen, the good guy bacteria of the vagina, the lactobacilli, don't like the environment-and they die off (they love estrogenized cells) These lactobacilli create an acidic environment, which keeps the bad guys away. When the bad guys show up, they can cause odors and other symptoms; sometimes women even get urinary tract infections as well. So using vaginal estrogens can be quite helpful to encourage the good guys to hang around. RepHresh also can be helpful, in helping to keep the environment acidic. And if women prefer, there is now an oral non estrogen medication that can help with vaginal moisture.
So do consider some interventions if this is a problem,
Good luck,
Mary Jane
oblina58 responded:
I am post menopausal 8 yrs. and diagnosed with BV 1/2014 and no amount of medication has "cured" the issue. However, I started using an estrogen vaginal cream and a vinegar douche 2x's a week. It seems to control odor and dryness. April 2015, doctor's visual exam, prior to swab for BV, said I looked pink, healthy and no odor. Swab tested positive for BV and another medication. At this point, I have not experienced improvement. In fact, odor and discomfort increased. Sticking to my regime.

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For more information, visit the North American Menopause Society website