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While we know that vaginal atrophy (VA) also called genitourinary syndrome of menopause (GSM) is common, what we don’t know is why it happens to some women and not others. Or, what causes it in all cases. But when it does happen, it can cause all kinds of symptoms, including painful sex, burning while peeing, and genital itching. Here are nine circumstances that could at least be partially to blame for this often challenging condition. iStock Menopause Itself Is a Cause of GSM What we do know for certain? “Menopause is caused by declining estrogen production by the ovaries,” says Oz Harmanli, M.D., chief of urogynecology & reconstructive pelvic surgery and professor of obstetrics, gynecology and reproductive sciences at Yale School of Medicine, New Haven, CT. And that, in turn, leads to vaginal atrophy for a large number of women. That’s because the drop in the hormone has a variety of impacts, including “thinning of the vaginal lining, lowering fluid production by vagin

United statesCaroline mitchellVulvovaginal disorders programVincent centerHarvard medical schoolReproductive biologyMassachusetts general hospitalஒன்றுபட்டது மாநிலங்களில்கரோலின் மிட்செல்வின்சென்ட் மையம்ஹார்வர்ட் மருத்துவ பள்ளிஇனப்பெருக்கம் உயிரியல்மாசசூசெட்ஸ் ஜநரல் மருத்துவமனை