Having Less Estrogen
Menopause causes estrogen levels to drop, which lowers the blood flow to the vagina. This can make the vaginal tissue thin, fragile, or dry, causing painful sex. The inside of the vagina might feel itchy or dry, and the skin outside of it might be irritated.
If you’ve given birth in the past or had any surgeries, you may have scar tissue left over, which can become more sensitive during and after menopause.
Feeling Less Aroused
When you are aroused, the tissue around the vagina will fill with blood, which triggers lubrication. With less estrogen post-menopause, you might not become aroused as quickly as you did before or your vagina might require extra lubrication.