Vulvovaginal atrophy (VVA) is a common condition in menopausal women. It is most commonly caused by decreased estrogen levels which affects the vaginal tissue. This tissue becomes thin, pale, dry, friable and inflamed. Women will often complain about vaginal dryness, decreased lubrication and/or pain at the vaginal entrance. Other symptoms include pruritis (itchiness), bleeding, urinary …
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