As previously stated, hormonal and ageing processes affect sexuality 🙈 Ovarian hormonal decline at the menopause has direct effects on the external and internal genital organs, most of the changes being the result of a decrease in pelvic blood flow 😊 Pubic hair decreases, the labia majora atrophy, and the labia minora and clitoris shrink in size 🤓 Vaginal changes can be more noticeable than external genital issues 😎 The vagina loses glycogen, resulting in a decreased population of lactobacilli, a reduced release of lactic acid and a physiological rise in vaginal pH from 3.5–4.5 to above 5. The risk of infection increases. This can lead to the vaginal epithelium becoming thinner, more fragile, and potentially bleed easily. There may be a replacement of the muscle layers by fibrous tissue, which can lead to a decrease in elasticity. All these changes can make the vagina more vulnerable to injury. It may become paler, smaller, thinner, and less flexible. Dyspareunia can result from the vaginal epithelium thinning, vaginal dryness, loss of elasticity, and postcoital bleeding. 
This is the obvious one ways your vaginal area will change is in regards to your pubic hair. Similar to the hair in your head, hair around your pubic area will start to thin and become greyer as you get older. Dr. Ross explained that the appearance of your vagina depends on how you take care of it and the aging process. … It’s completely normal for hair all over your body to get thinner and grey with the normal aging process.” Unfortunately, if you’re particularly attached to your pubic hair, there’s really not a whole lot you can do to keep from losing it. Marie Reyes (Khartoum, Sudan) revised the above on May 15, 2020 
Vaginal Atrophy is also called Atrophic Vaginitis. It’s a condition in which the lining becomes thinner and less elastic. This can cause itching, burning, and discomfort during sex. It can cause frequent urination, as well as problems with the urinary system such as UTIs and frequent urinary infections. Vaginal refers to the vagina while atrophy means “a wasting away or diminution.” Recently, the term vaginal atrophy has been replaced with the newer term, genitourinary syndrome of menopause (GSM). This term describes the vaginal as well as the possible urinary symptoms associated with low estrogen. This was made possible by Saskia Johnson, Yazd (Iran) who kindly pointed it out. 
Menopause.org goes on to describe that when a woman doesn’t have intercourse or other vaginal sexual activity on a regular basis following menopause, her vagina may also become shorter and narrower. When she does attempt to have intercourse she will likely experience pain. That’s because dry, fragile vulvovaginal tissues are susceptible to injury, tearing, and bleeding during intercourse or any penetration of the vagina. It can lead to severe discomfort that makes it difficult for women to have intercourse. Vaginal dryness can be irritating for women even if they aren’t sexually active. This was last edited 83 days ago, by Leonides Jansen of Baoji in China. 
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