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Both the vagina and the external female genitals vulva are affected. Vulvovaginal atrophy. During perimenopause, less estrogen may cause the tissues of the vulva and the lining of the vagina to become thinner, drier, and less elastic or flexible—a condition known as vulvovaginal atrophy see figure. Vaginal secretions are reduced, resulting in decreased lubrication. Reduced levels of estrogen also result in an increase in vaginal pH, which makes the vagina less acidic, just as it was before puberty. Vaginal lining with estrogen Vaginal lining in low-estrogen state Illustration by Juliet Sweany Lining of the vagina before menopause left and after menopause right.

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