Women in menopause can experience atrophic vaginitis, or vaginal atrophy, which involves thinning, dryness, and inflammation of the vaginal walls due to decreased estrogen. Symptoms include [citation href="https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/symptoms-causes/syc-20352288" title=Mayo Clinic" desc="Vaginal Atrophy"]burning during urination and vaginal itching. Due to decreased lubrication, sex can be painful, and some women experience bleeding. The changing pH levels also increase the risk of infection.

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