A 52-year-old woman complains of persistent vaginal dryness and dyspareunia which has been worsening over the last year. She went through menopause 3 ...

Question

A 52-year-old woman complains of persistent vaginal dryness and dyspareunia which has been worsening over the last year. She went through menopause 3 years ago and is not on systemic HRT. Examination confirms vaginal atrophy. According to NICE NG23, what is the most appropriate first-line treatment?

Accepted Answer

Vaginal oestrogen (cream, pessary, or ring)

Answer

Systemic HRT (oral or transdermal)

Answer

Vaginal moisturizers and lubricants

Answer

Testosterone gel

Answer

Selective serotonin reuptake inhibitor (SSRI)

mrcgp akt MCQ (SBA): Genitourinary Syndrome of Menopause (GSM) / Atrophic Vaginitis