Abstract
While urogenital estrogen deficiency has been well investigated in recently perimenopausal or menopausal women, there is a lack of findings referring to elderly women. In addition women avoid discussing symptoms of vaginal atrophy with doctors during consultations. Local estrogen use is the most effective therapy to avoid progressive vaginal atrophy. There is a wide range of nourishing and lubricating preparations if the use of estrogen is to be avoided.