DEAR DOCTOR K: I've been bothered by vaginal dryness. Sex is painful. My doctor believes it's vaginal atrophy due to menopause. Can you tell me more about this condition? How is it treated?
DEAR READER: During a woman's reproductive years, the lining of the vagina is kept moist and lubricated in part by female hormones made by the ovaries -- particularly estrogen. With the start of menopause, estrogen levels decline. This often leads to vaginal atrophy: The lining of the vagina becomes thin and dry.