An individualized approach to the management of vaginal atrophy in Latin America

Santiago Palacios, Rossella E. Nappi, Marla Shapiro, Nilson Roberto de Melo, María Celeste Osorio Wender, César Eduardo Fernandes, Dolores Pardini, Rogério Bonassi Machado, Jaime Kulak, Cuauhtémoc Celis-González, Mabel T. Martino, Rita R. Pizzi, Paulina Villaseca, Eduardo Storch, Luis Fernando Danckers, José Alberto Hernández-Bueno

Research output: Contribution to journalArticlepeer-review


OBJECTIVE: In the absence of guidelines specific for Latin America, a region where the impact of menopause is becoming increasingly important, an evidence-based specialist opinion on management of vaginal atrophy will help improve outcomes. METHODS: An advisory board meeting was convened in São Paulo, Brazil, to discuss practical recommendations for managing vaginal atrophy in women in Latin America. Before the meeting, physicians considered various aspects of the condition, summarizing information accordingly. This information was discussed during the meeting. The expert consensus is now summarized. RESULTS: In Latin America, given the relatively early age of menopause, it will be beneficial to raise awareness of vaginal atrophy among women before they enter menopause, considering cultural attitudes and involving partners as appropriate. Women should be advised about lifestyle modifications, including attention to genital hygiene, clothing, and sexual activity, and encouraged to seek help as soon as they experience vaginal discomfort. Although treatment can be started at any time, prompt treatment is preferable. A range of treatments is available. By addressing the underlying pathology, local estrogen therapy can provide effective symptom relief, with choice of preparation guided by patient preference. An individualized treatment approach should be considered, giving attention to patients' specific situations. CONCLUSIONS: It is critical that women are empowered to understand vaginal atrophy. Educating women and healthcare providers to engage in open dialogue will facilitate appreciation of the benefits and means of maintaining urogenital health, helping to improve outcomes in middle age and beyond. Women should receive this education before menopause.

Original languageEnglish
Pages (from-to)919-928
Number of pages10
JournalMenopause (New York, N.Y.)
Issue number8
Publication statusPublished - Aug 1 2019

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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