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Before menopause, when the vagina is well supplied with estrogen, its lining is thicker and has more folds, allowing it to stretch with intercourse and childbirth. Clinical Issues Chapter 4: Changes in the Vagina and Vulva. Dry, fragile vulvovaginal tissues are susceptible to injury, tearing, and bleeding during intercourse. Disease Risk Chapter 5:

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Inflammation of the vagina after menopause in a woman who is not using hormone therapy is called "atrophic vaginitis.

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Both the vagina and the external female genitals vulva are affected. Email to a Friend. Nonprescription Options Chapter 8: Reduced levels of estrogen also result in an increase in vaginal pH, which makes the vagina less acidic, just as it was before puberty. Effective Treatments for Sexual Problems. Email a Friend close. After menopause, when levels of estrogen are low, the vaginal lining is thinner and has fewer folds, which makes it less flexible.

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