What to do if uterine atrophy occurs after menopause

Postmenopausal uterine atrophy can be intervened through hormone replacement therapy, topical vaginal medication, pelvic floor muscle exercises, nutritional intervention, and regular gynecological examinations. Postmenopausal uterine atrophy is usually caused by factors such as decreased estrogen levels, degradation of pelvic floor support structures, chronic inflammation, malnutrition, and long-term lack of exercise.

1. Hormone replacement therapy

Estrogen preparations such as estradiol valerate tablets and conjugated estrogen tablets can improve the symptoms of reproductive tract atrophy, but contraindications such as breast cancer and thrombotic diseases need to be excluded. Topical use of estriol cream can relieve vaginal dryness, and is usually combined with sequential progesterone treatment to protect the endometrium. Breast ultrasound and liver and kidney function need to be reviewed every 6 months during medication.

2. Topical vaginal medication

Proestren vaginal capsules can repair atrophic vaginal mucosa, and lactic acid bacteria vaginal capsules can adjust the balance of the microenvironment. Vaginal bleeding and infection need to be ruled out before use. It is recommended to place the medicine before going to bed to extend the action time. After symptoms are relieved, medication needs to be maintained twice a week to prevent recurrence.

3. Pelvic floor muscle exercises

Kegel exercises enhance the support of the pelvic floor by contracting the anus-vaginal muscles. 3 groups of 15 contractions per group per day have the best effect. Biofeedback therapy devices can assist in locating muscle groups, and combined with vaginal dumbbell training can improve stress urinary incontinence. Continuous exercise for more than 6 months can increase the blood supply to the uterine ligaments.

4. Nutritional intervention

Daily intake of 50 grams of soy products supplements phytoestrogens. Flax seeds contain lignans that can regulate hormone levels in both directions. Vitamin E capsules and deep-sea fish oil can improve mucosal elasticity, and calcium combined with vitamin D can prevent osteoporosis. Caffeine intake needs to be controlled to avoid worsening hot flash symptoms.

5. Regular gynecological examinations

Transvaginal ultrasound is performed every 6 months to monitor endometrial thickness, and cervical TCT combined with HPV screening is performed to exclude lesions. Hysteroscopy is indicated for patients with abnormal bleeding, and bone density testing should be included in annual physical exams. If a vaginal wall bulge is discovered, it is necessary to promptly evaluate whether pelvic floor reconstruction surgery is needed.

It is recommended to maintain a moderate sexual frequency to promote local blood circulation and choose non-irritating water-soluble lubricants. Wear pure cotton breathable underwear to prevent the vulva from getting wet. If you experience pain during urination or bleeding during sexual intercourse, you should seek medical advice promptly. Controlling your weight within the BMI range of 18-24 can reduce pelvic floor pressure, and low-impact exercises such as Tai Chi can help improve pelvic blood flow. Conduct gynecological tumor marker testing every year and establish a complete menopausal health file.