Atrophic vaginitis ... their marriage. On external genital examination, her vulva was pale pink, shiny, and inflamed with small areas of erythema and petechiae present. Her vaginal tone was ...

The major universal change is vaginal atrophy. The vaginal mucosa becomes thinner and dry, which can produce vaginal discomfort, dryness, burning, itching, and dyspareunia. The vaginal epithelium ...