Tales from the Stirrups

Vaginal Atrophy: "she ain't what she used to be!"

July 16, 2026·11 min
Episode Description from the Publisher

Vaginal atrophy is a common, often under-discussed change across the lifespan where declining estrogen can shift vaginal tissue from “pink, healthy, lubricated, and elastic” to thin, grey, dry and won’t stretch, making intercourse painful and sometimes impossible. This podcast explains the biology behind these changes and why symptoms like dryness, discomfort, and pain with sex are so common yet frequently overlooked. We also cover effective non-hormonal options and the evidence supporting vaginal estrogen, including its safety in women with a history of estrogen-sensitive breast cancer.   * Remember, a podcast is not medical advice. It is simply education.  I hope that this podcast will inform and encourage your conversations with your providers about your health and care. *

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