What are the harms of cervical atrophy?
After menopause, the reproductive organs undergo atrophy, including the cervix, uterus, and ovaries. Under normal circumstances, even after menopause, the uterine cavity continues to produce a certain amount of fluid.
If cervical atrophy becomes particularly severe, there is a risk that as the cervix shrinks further, the cervical canal may become completely closed, leading to fluid accumulation within the uterine cavity. As the cervix atrophies, if the patient also experiences vaginal atrophy, she may develop senile vaginitis, which can cause pain and discomfort during sexual intercourse. Following cervical atrophy, cervical adhesions may occur, preventing normal drainage of secretions from the uterine cavity, resulting in fluid buildup (hydrometra). In severe cases, this can lead to abdominal pain, bloating, and even secondary infection causing fever.
Cervical atrophy can also reduce vaginal discharge and impair its expulsion, leading to vaginal dryness and pain during sexual intercourse. It may affect menstruation as well—cervical atrophy can interfere with menstrual blood outflow, potentially causing menstrual irregularities in serious cases. Once cervical atrophy is detected, the underlying cause should be promptly investigated and treated appropriately with medication or surgery.