In many cases, cystitis occurs and/or becomes chronic as menopause approaches or during this delicate phase. We have already investigated the root mechanisms of this phenomenon on several occasions, but recent exchanges in our support group have led us to focus on one of the most significant components among the risk factors in postmenopausal women: vaginal dryness and atrophy of the mucous membranes.
In fact, these situations are unfortunately common and are frequently observed during routine gynecological consultations without really being taken into account or pointed out as the main cause of recurrent cystitis (both bacterial and abacterial).
Therefore, many women live with intimate discomforts (which can be perceived as surmountable on a day-to-day basis) that they cannot manage properly due to a lack of clear indications on the measures to be implemented and, what is more annoying, due to a lack of awareness of the impact that this problem has on the urogenital sphere as a whole.
However, the management of atrophy and dryness of the mucous membranes can be a “starting point” of an effective natural approach against cystitis.
How to combat dryness and atrophy of the mucous membranes can be a solution against cystitis?
Let’s use a metaphor here.
If we imagine the vulvo-vaginal ecosystem as a garden, the mucosa will be the soil, the Döderlein flora the plants that grow in it and the pH the environmental quality of the environment. In such an environment, if the land is parched and cracked, the environmental conditions are far from optimal and it is unthinkable to grow anything.
At the vulvo-vaginal level it is the same: as long as the mucous membranes are too dry to recover elasticity and correct trophism, all the protective functions of the genital and urinary tracts (protection against infections such as inflammation) cannot be fulfilled.
We invite you to read this to deepen the topic about the anatomy of the lower urinary tract and GAGs
How to restore the trophism and hydration of the mucous membranes?
The return to optimal hydration and vulvo-vaginal trophism is a true path since it involves gradually, patiently and diligently restoring not only hydration to the tissues but also the “raw materials” necessary to rebuild and recover their physiological characteristics of elasticity, flexibility, ability to host a balanced and abundant flora, etc.
Of course, the duration of this process depends on the subject and, in particular, on the conditions in which the vulvovaginal ecosystem is found at the beginning of the approach. Obviously, it is much easier to find a balanced situation if the dryness is moderate and the atrophy is just beginning; it will be much longer if we start from an initial situation of great atrophy and extreme dryness of months or even years.
Continuing with the metaphor of the garden, it would be like trying to irrigate a dry and cracked earth. The first few times, the water runs along the surface without being able to penetrate the ground. It is necessary to irrigate very little but for a long time to “soak” the soil with water and gradually reach the deep layers so that the hydration is constant and uniform. Once this first step has been taken, it is possible to think about sowing seeds to restore a garden (with probiotics, for example).
In our experience, we have spoken with menopausal women who have waited months to see the results of their perseverance, but this is possible with measures such as:
-> Daily applications of:
-> Supplementation with constituent elements of the mucosa and naturally anti-inflammatory active ingredients such as:
-> Use of lubricant during intercourse
-> Sometimes, the use of local HRT 1 to 3 times a week (according to the specialist’s opinion) is an important boost to achieve a first result in terms of comfort, more quickly
The important thing is to define a personalized approach that combines not only the correct measures but also a dosage that is feasible over time. In this sense, as always, we can accompany you if you wish.