臨床婦人科産科60巻4号

2006年04月発行

今月の臨床 女性診療科外来プラクティス

VI　更年期・老年期外来

2. 外陰・腟異常

著者： 樋口毅¹ 水沼英樹¹

所属機関： ¹弘前大学医学部産科婦人科

ページ範囲：P.558 - P.561

文献概要

1　はじめに

　閉経を挟む前後約10年の期間が更年期と定義されるが，更年期を境として卵巣機能は低下し，エストロゲン産生は低下する．エストロゲンの低下によりホットフラッシュ，発汗異常などの典型的な更年期症状の発現を認めることが多いが，エストロゲン低下の影響は女性の体全身へ波及する．エストロゲン受容体を有する外陰，腟も例外ではなく，萎縮性変化が現れ，外陰や腟の掻痒，灼熱感，性器出血も含めた帯下異常，あるいは性交痛という訴えとして認められる．

　本稿では，更年期以降にみられる萎縮性外陰炎，腟炎を中心に述べる．

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