Case study ( 5329 views as of November 18, 2019 )
Karen is a 60-year-old woman who comes into her physician's office with recurrent urinary infections, vaginal dryness and itch. She has been using anti-yeast medication repeatedly and despite antibiotics, the bladder infections recur. On exam the genital area is raw, pale and easily tears with contact. Her past medical history is unremarkable, with her last menstrual period about five years ago. These symptoms have been getting worse with time and she no longer can comfortably have intercourse with her husband.
Karen has been very reluctant to discuss these issues as she feels uncomfortable and doesn’t want to complain. However, the urinary issues are just getting worse.
Given the amount of over-the-counter medication she has purchased and the antibiotics she has received at various walk-in clinics, her pharmacist has raised the issue of the estrogen deficiency in the genitourinary area and suggested she see her doctor. Armed with the support of the pharmacist, she feels a bit better going to see the doctor to discuss these issues.Author: Dr. Vivien Brown