Merck Manual

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The Vagina (Before and After Menopause)
The Vagina (Before and After Menopause)

    As women age, the levels of female hormones (particularly estrogen) decrease dramatically. The decrease in female hormone levels causes the reproductive organs, including the vagina (right), to shrink. Staying sexually active (which stimulates the vagina) can help prevent the vagina from shrinking.

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