Diagnosing & Treating Vulvovaginal Atrophy Online

Vulvovaginal Atrophy is a common, though underreported condition in which the vagina and the outer urinary tract become inflamed. The condition is caused by the thinning and shrinking of the tissues, as well as decreased lubrication, which occur during perimenopause and menopause. The condition can lead to pain during intercourse as well as urinary issues. Because the symptoms of vulvovaginal atrophy develop slowly, many women do not notice symptoms until many years after menopause begins. Vulvovaginal atrophy can occur prior to menopause in women who have had their ovaries removed or have undergone treatments for certain forms of cancer.

During a video consult on TelaCare, one of our board-certified doctors will ask you a series of targeted questions to determine the severity of your vulvovaginal atrophy. Your diagnosis will be based on the duration and severity of symptoms, as well as your medical history.

Once a diagnosis has been made, your doctor will go over the risks and benefits of the various treatment plans. Treatment for vulvovaginal atrophy varies patient-to-patient depending on the severity and cause of the pain, but a consistent treatment routine can help minimize or eliminate the pain. Your doctor will likely have you try some simple, over-the-counter remedies first, including:

  • Vaginal Moisturizer, such as Replens or Vagisil, to restore moisture to the vaginal area
  • Water-based lubricants, such as Astroglide or K-Y Touch, which reduce discomfort during intercourse

If over-the-counter treatments are ineffective, your doctor may prescribe one or a combination of treatments including:

  • Oral Estrogen: pills taken orally that increase the estrogen levels in your body and reverse some of the symptoms of menopause
  • Topical vaginal estrogen: treatments come in cream, ring, or tablet form, and are applied topically, which gives them the advantage being effective at lower doses and limits your overall exposure to estrogen
  • Systemic estrogen therapy: when Vulvovaginal Atrophy accompanies other symptoms of menopause, such as hot flashes, your doctor may prescribe estrogen pills, patches or gel, or a higher dose estrogen ring, in combination with progestin or oral progesterone
  • Fractional Laser Treatment: small, independent studies have shown laser treatments for Vulvovaginal Atrophy to be effective, however, this treatment is still in the investigative stage

Even with treatment, vulvovaginal atrophy may result in a negative emotional response to sexual stimulation. If you and your partner are avoiding intimacy due to the pain from your vulvovaginal atrophy, your doctor may also recommend counseling or sex therapy to help resolve these issues. This may be with one of TelaCare's online therapists or a local therapist in your area.

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Got Questions? We've got answers.

See below for answers to some of our most common questions. You can also call us anytime 24 hours a day at 1-800-317-0280 to speak to a medical professional about your symptoms or conditions.



 What is an online doctor visit?

TelaCare is an affordable, convenient way to resolve routine medical conditions. Our unique, secure, technology makes it possible to see a doctor, face to face, without you having to leave your home on your smartphone, desktop or telephone. With video, providers can look, listen and engage with you to diagnose your health concerns and provide an effective treatment plan.

 Does TelaCare offer refunds?

No, All sales are final, and no refunds will be offered or accepted on services purchased from TelaCare. As we are a medical benefits company like any other benefit, once you accept our terms and conditions, you have purchased our services and accept this refund policy as a whole. Services can be canceled in the system at your discretion under account settings if your account is completed. Your satisfaction with your purchase is essential to us. If you are unsatisfied with your purchase for any reason, please contact us at support@telacare.com


 Can I get a prescription online?

Yes, in general you can get a prescription online. There is support for this nationwide, however there are several exceptions. 


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