Vaginal Atrophy: "she ain't what she used to be!"

Tales from the Stirrups · Jul 16, 2026 · 11m

Vaginal atrophy is a common, often under-discussed change across the lifespan where declining estrogen can shift vaginal tissue from “pink, healthy, lubricated, and elastic” to thin, grey, dry and won’t stretch, making intercourse painful and sometimes impossible. This podcast explains the biology behind these changes and why symptoms like dryness, discomfort, and pain with sex are so common yet frequently overlooked. We also cover effective non-hormonal options and the evidence supporting vaginal estrogen, including its safety in women with a history of estrogen-sensitive breast cancer.

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