- Lower estrogen levelsAfter menopause, the most common cause is lower estrogen levels. This can lead to vaginal atrophy. That’s when the tissue in your vagina gets thinner, less elastic, and tears easily. And you lose some of your natural lubrication. You may get a “sandpaper” feeling during sex. You should tell your doctor how long you’ve had pain and dryness.www.webmd.com/menopause/menopause-vaginal-dryness
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Vaginal Atrophy
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