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The biological catalyst for these changes is the significant decline in circulating estrogen. This hormone is the primary architect of vaginal health, maintaining blood flow, tissue elasticity, and the natural lubrication that protects sensitive membranes. When estrogen levels drop, the body undergoes a process often referred to as Genitourinary Syndrome of Menopause (GSM). The results are tangible: thinning of the vaginal walls (atrophy), increased fragility of the tissue, and a shift in the delicate pH balance that can lead to irritation or recurring infections. These are not personal failings or signs of a “fading” femininity; they are physiological realities that require intentional, informed care.
