Which treatment is recommended for severe symptoms of atrophic vaginitis?

Estrogen replacement therapy is the recommended treatment for severe symptoms of atrophic vaginitis because it addresses the underlying cause of the condition, which is often due to declining estrogen levels, particularly during menopause. Atrophic vaginitis is characterized by thinning, drying, and inflammation of the vaginal walls, which leads to symptoms like dryness, irritation, and painful intercourse.

By providing estrogen, either through systemic or localized treatments, this therapy helps to restore vaginal moisture, elasticity, and overall health, which can significantly relieve the discomfort associated with atrophic vaginitis. Other treatments, such as over-the-counter pain relievers, may address pain temporarily but do not treat the root cause. Antibiotics are used for bacterial infections and would not address the estrogen deficiency that leads to atrophic vaginitis. Similarly, physical therapy is not a standard treatment for this specific condition.