Which of these is not a symptom of vaginal atrophy?
A. Lengthening of vaginal canal
B. Thinning of vaginal walls
C. Decreased vaginal lubrication
D. Urinary incontinence
Correct Answer: A. Lengthening of vaginal canal
Explanation
The option NOT a symptom of vaginal atrophy is:
A. Lengthening of vaginal canal
Reason:
Vaginal atrophy (Genitourinary Syndrome of Menopause) typically causes shortening and tightening of the vaginal canal — not lengthening.
The other options are common symptoms:
- Thinning of vaginal walls ✔
- Decreased vaginal lubrication ✔
- Urinary incontinence / urinary symptoms ✔
So the correct answer is A. Lengthening of vaginal canal.
Other Options Details
Here are the descriptions of all the options:
A. Lengthening of vaginal canal
This refers to an increase in the length or depth of the vagina.
- It typically occurs during puberty, when the reproductive organs mature.
- In adults, the vaginal canal can temporarily lengthen during sexual arousal due to increased blood flow.
- Lengthening does NOT occur in menopause; instead, the opposite (shortening) happens.
B. Thinning of vaginal walls
This occurs when the vaginal lining becomes thin, fragile, and less elastic.
- Common in postmenopausal women due to low estrogen.
- Leads to symptoms such as dryness, irritation, and painful intercourse.
- Part of the condition known as Genitourinary Syndrome of Menopause (GSM).
C. Decreased vaginal lubrication
This refers to a reduction in natural moisture produced by the vagina.
- Usually caused by low estrogen, especially after menopause.
- Leads to vaginal dryness, discomfort, and painful sex.
- Can also occur with certain medications, stress, or breastfeeding.
D. Urinary incontinence
This is the unintentional leakage of urine.
- Common in older women or after childbirth.
- Types include stress incontinence (leakage with coughing/sneezing), urge incontinence, or mixed.
- Can be associated with pelvic floor weakness and menopausal changes.
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Writer: Vandita Singh, Lucknow (GS India Nursing Group