Vaginal health is considered to be a fundamental aspect in guaranteeing the overall female wellbeing and healthcare. It was defined for the first time in Spain in 2014 as “the state of the vagina where all the appropriate physiological conditions that change throughout the woman’s life are maintained, a state with absence of local symptoms of dysfunctions that allows a woman to have a satisfactory sexual life without suffering any genital trophism”.
Vagina is covered with Poly stratified squamous epithelium dependent on the estrogenic stimulus in a way that when estrogen levels decrease so does the pro- cuss of proliferation.
As a consequence, the number of vaginal epithelium layers decreases, epithelium becomes thinner, exposing the nerve endings and increasing sensitivity.
Estrogen levels affect humidity levels, pH and the composition of the vaginal discharge. They also regulate blood circulation in the vagina that reduces when the estrogen levels decrease. All this will cause changes in the trophism that could affect the vaginal mucosa by causing deficit and eventual disappearance of lactobacilli, which will result in susceptibility to infections affecting sexual life and urinary symptomatology as well as pelvic floor support systems.