Freedman Murray A
Womens Health (Lond). 2014 Jul;10(4):445-54. doi: 10.2217/whe.14.29.
Symptoms of vulvar and vaginal atrophy (VVA), including dyspareunia and vaginal dryness, have a distinct negative impact on a woman's quality of life. The REVIVE survey highlighted the lack of awareness of VVA symptoms among postmenopausal women with vaginal symptoms, with many women reluctant to initiate discussions with their healthcare professionals despite the presence of vaginal symptoms. The REVIVE survey also provided insights into women's views of VVA treatments. Women reported displeasure with the vaginal administration route, lack of symptom relief with over-the-counter products, and concerns about the safety of estrogen therapies. With the high prevalence of VVA, obstetricians/gynecologists should become vigilant in identifying women with VVA by implementing screening and discussion of symptoms during routine office visits - providing patients with information about appropriate therapies based on the severity and impact of symptoms, keeping in mind individual preferences and perceptions.
外阴和阴道萎缩（VVA）的症状，包括性交困难和阴道干燥，对女性的生活质量有明显的负面影响。REVIVE调查凸显了有阴道症状的绝经后女性对VVA症状缺乏认知，尽管存在阴道症状，但许多女性仍不愿与医疗保健专业人员展开讨论。REVIVE调查还深入了解了女性对VVA治疗的看法。女性报告了对阴道给药途径不满意、非处方产品无法缓解症状以及对雌激素疗法安全性的担忧。鉴于VVA的高患病率，妇产科医生应提高警惕，通过在常规门诊中进行筛查和症状讨论来识别患有VVA的女性——根据症状的严重程度和影响，为患者提供有关适当治疗的信息，同时牢记个人偏好和认知。
