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Atrophic vulvar tissue is sensitive to irritant agents.

"UPDATE: PELVIC FLOOR DYSFUNCTION"

AUTUMN L. EDENFIELD, MD, AND CINDY L. AMUNDSEN, MD (OCTOBER 2012)

When patients report dysuria or irritative voiding or vulvar symptoms, I always ask what soap they use for bathing. They often respond with the name of a harsh deodorant soap, assuming such a product is good for hygiene. Many patients also scrub the perineum with a washcloth.

I advise all postmenopausal patients--as well as premenopausal patients who have symptoms, to use plain baby bath (no added aloe or other ingredients) and to wash gently and rinse well. Atrophic vulvar tissue is much more sensitive to contact irritants than normal tissue is, and soaps often contribute to dysuria, vulvar irritation, and other problems.

As for probiotics, it is my experience that they are more helpful for chronic vaginitis than for urinary tract infections.

Lisa Rogers, MD

Jackson, Tennessee

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Title Annotation:Comment & Controversy
Author:Rogers, Lisa
Publication:OBG Management
Date:Jan 1, 2013
Words:142
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