Vaginal soreness, irritation, itchiness or burning sensation
Discomfort and pain during intercourse
Bleeding after intercourse
Low libido
Anorgasmia
The pale and thin look of the vaginal surface
Narrowing or shortening of the vagina
Frequent Urination
Frequent urinary tract infections (UTIs)
Menopause
Perimenopause
Breastfeeding
Childbirth
Cancer treatment such as radiation to the pelvis, hormone therapy, or chemotherapy
Oophorectomy (ovary removal surgery)
Effects on the ovaries from cancer therapy
Immune system disorders, such as Sjogren’s syndrome
Diabetes
Smoking
Using anti-estrogen drugs for breast cancer or endometriosis
Using contraception
Not being aroused before sex
Douching
Depression
Excessive stress
Rigorous exercise
Gynaecologist and Obstetrician