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    Η μείωση των οιστρογόνων οδηγεί α) σε λέπτυνση του κόλπου και μείωση της ανθεκτικότητάς του σε τραυματισμούς, και β) σε αύξηση του κολπικού p H (πάνω από το φυσιολογικό), με συνέπεια ο κόλπος να είναι επηρρεπής σε λοιμώξεις από παθογόνα μικρόβια. Τα κύρια συμπτώματα της ατροφικής κολπίτιδας είναι ξηρότητα κόλπου, δυσπαρευνία (επώδυνη σεξουαλική επαφή), κνησμός, περιστασιακή αιμορραγία, αίσθημα καύσου και φλεγμονές του ουρογεννητικού, τα οποία οδηγούν σε σεξουαλική δυσλειτουργία και συναισθηματικές διαταραχές. Σύμφωνα με μελέτη στις ΗΠΑ (American Family Physician 2000):υπολογίζεται ότι το 10-40% των μετεμμηνοπαυσιακών γυναικών έχουν συμπτώματα ατροφικής κολπίτιδας, ωστόσο μόνο το 20-25% των γυναικών αυτών συμβουλεύονται το γυναικολόγο τους για την πάθηση αυτή. Η ατροφική κολπίτιδα μπορεί επίσης να εμφανιστεί σε γυναίκες που υποβάλλονται σε αντιοιστρογονικές θεραπείες, χημειοθεραπεία, ακτινοθεραπεία, μετά απο γυναικολογικές επεμβάσεις (όπως ωοθηκεκτομή), μετά τον τοκετό ή κατά το θηλασμό. Κατ’ αρχήν, ο γυναικολόγος σας θα διαχωρίσει αν η αιτία του πόνου είναι οργανική, ψυχολογική ή σύνθετη, παίρνοντας πλήρες ιστορικό και κάνοντας μια λεπτομερή γυναικολογική εξέταση ώστε να ακολουθηθεί η κατάλληλη θεραπεία σε κάθε περίπτωση. The Design Team has some great projects to inspire you! You have until Sunday evening at pm on September 3rd to enter your project. And here is what our talented Design Team has come up with… Congratulations to all of the Design Team picks and to the incredible cards the rest of you entered! For our one hundred and thirteenth challenge we have a nice simple Sketch! Please link back to this post and we appreciate it if you would keep the number of other challenges you enter to three! As always we would like to thank you all so much for sharing your amazing cards with us for last week’s Back to School Challenge! Winners will be announced on Monday, September 4th! Jenny Hall Le Anne Pugliese Ricky Burton-Romero Dena Rekow Off this week. Ginger Pelfrey Carolyn Lindenmayer Tina Rackley-Riddle Lisa Altman Off this week. Andrea Tracy-Tucker Justin Krieger Let us know what your thoughts are by leaving a comment below! We can’t wait to see your creations and look forward to choosing picks for this week! Again, the challenge winners will be posted on Monday!

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