Why does menopause cause vaginal atrophy?
Menopause causes a dramatic drop in oestrogen, the hormone responsible for keeping vaginal tissues thick, elastic, and well-lubricated. This decline leads to thinning, dryness, and inflammation—collectively known as vaginal atrophy.
Detailed Medical Explanation
During menopause, oestrogen levels fall quickly, affecting the health of vaginal and urinary tissues. This leads to loss of elasticity, moisture, and protective acidity, causing atrophy and increased risk of infections or pain. NHS: Menopause & Atrophy.
Clinical Context
Most women experience some vaginal changes after menopause. Early treatment helps preserve comfort, sexual function, and urinary health.
Evidence-Based Approaches
Guidelines recommend managing atrophy as a chronic, progressive condition after menopause. RCOG: Menopause and GSM.