29th April 2024

A 55-year-old woman presents with a six-month history of vaginal dryness, itching, and discomfort during intercourse.

A 55-year-old woman presents with a six-month history of vaginal dryness, itching, and discomfort during intercourse. She also reports increased urinary frequency and urgency. She is five years postmenopausal and has not used hormone replacement therapy. On examination, the vaginal mucosa appears thin and dry, with a few small petechiae. There is no abnormal discharge or odour.

Which is the most likely diagnosis underlying the clinical presentation?