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I've been post-menopause for about three years. I experienced the symptoms of vaginal atrophy almost immediately after menopause. Intercourse HURT LIKE HELL no matter how aroused I was or how much lubrication was produced naturally. It generally resulted in some minor tearing and bleeding no matter how careful my husband and I used to be.
Vulvo vaginal atrophy and the Genitourinary Symptoms of Menopause are generally used as interchangeable terms for a condition consisting of thinning and drying and inflammatory changes of the vaginal walls.