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Vulvovaginal Atrophy (VVA)/ Genitourinary Syndrome of Menopause (GSM), What is it?
Vaginal laxity at menopause is due to declining of Oestrogen hormone production which leads to loss of volume and strength of many feminine tissues that contain Oestrogen receptors that help to maintain the youthful shape and function. At menopause, atrophy (shrinkage) of tissues happens.
 There is a reduction in the plumpness (bulk/mass) of the pelvic floor muscles and in the vaginal and urinary areas due to the diminishing of Oestrogen and its receptors mediating or responsible for both the well-being and function of the structures in the feminine area. A deficiency of Oestrogen hormone eventually leads to vaginal dryness and laxity.

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