Which symptom is most commonly associated with atrophic vaginitis?

Dyspareunia, which refers to painful intercourse, is the symptom most commonly associated with atrophic vaginitis. This condition arises due to estrogen deficiency, most frequently seen in postmenopausal women. The decrease in estrogen levels leads to thinning and inflammation of the vaginal tissues, which can result in decreased lubrication, elasticity, and overall vaginal health. This physiological change makes sexual intercourse painful, hence the prevalence of dyspareunia as a prominent symptom.

Atrophic vaginitis also manifests with other symptoms, such as vaginal dryness and irritation, but dyspareunia is particularly notable because it directly impacts the quality of intimate relationships and can lead to further emotional and psychological distress. Identifying this symptom is crucial for clinicians to address the underlying hormonal changes and provide appropriate treatment options, such as estrogen therapy or lubricants, to enhance comfort and vaginal health.