Friable tissue in the vagina

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The most common are the drying and thinning of the vaginal lining, fibrosis formation of scar tissueshortening and narrowing of the vagina, reduction of vaginal lubrication, and diminishment of the size and number of small blood vessels within the vagina. The result is vaginal stenosis and much drier, friable vaginal tissue. Patients can prevent or reduce these effects through good personal hygiene, which can also mitigates the impact of other effects, such as vaginal discharge.

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Vaginal atrophy is a collection of symptoms—including vaginal dryness, dysuria, and vulvovaginal irritation and itching—that are generally associated with declining estrogen levels attributable to menopause. However, adverse vaginal changes may also result from other conditions associated with low estrogen levels, including surgical removal of the ovaries before the natural age of menopausebreastfeeding, and the use of certain medications that affect estrogen levels e. Data from this U.

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Your cervix is the cone-shaped lower part of your uterus. It acts as a bridge between your uterus and vagina. Additional symptoms depend on the specific cause.

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Cervical ectropion is a condition in which the cells from the 'inside' of the cervical canalknown as glandular cells or columnar epitheliumare present on the 'outside' of the vaginal portion of the cervix. The cells on the 'outside' of the cervix are typically squamous epithelial cells. Where the two cells meet is called the transformation zone, also known as the stratified squamous epithelium.

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Some lesions may be found incidentally on an exam done for other reasons. The differential diagnosis of vulvar, vaginal and cervical disease is quite broad and there are many ways to classify it. Foster, in his review article on the subject suggests dividing the differential diagnosis by location and type of lesion.

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Gynecological Surgery. Postmenopausal bleeding PMB can be due to various causes. The commonest cause is atrophy of the vagina or the endometrium.

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Vaginal atrophy atrophic vaginitis is thinning, drying and inflammation of the vaginal walls that may occur when your body has less estrogen. Vaginal atrophy occurs most often after menopause. For many women, vaginal atrophy not only makes intercourse painful but also leads to distressing urinary symptoms. Because the condition causes both vaginal and urinary symptoms, doctors use the term "genitourinary syndrome of menopause GSM " to describe vaginal atrophy and its accompanying symptoms.

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Up to 40 percent of postmenopausal women have symptoms of atrophic vaginitis. Because the condition is attributable to estrogen deficiency, it may occur in pre-menopausal women who take antiestrogenic medications or who have medical or surgical conditions that result in decreased levels of estrogen. The thinned endometrium and increased vaginal pH level induced by estrogen deficiency predispose the vagina and urinary tract to infection and mechanical weakness.

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The cervix is the donut-shaped opening to the uterus. Cervicitis is an inflammation and irritation of the cervix. Symptoms of cervicitis can be similar to vaginitis, with vaginal discharge, itching or pain with intercourse.

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