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What causes vaginal thinning? Vaginal thinning is caused by an under-supply of oestrogen, and results in reduced hydration and thickness of the protective mucosa (vaginal skin). This leads to a loss of natural lubrication, and changes in the natural pH balance of the area. In younger women, vaginal thinning can be associated with eating disorders, low body weight, post-cancer treatment, early menopause or high level athletic training. As you get older, vaginal thinning is a normal ageing process after menopause but can be worse in some women who may also have had treatment for cancer. It requires an appropriate daily skin care regime. Sometimes, prolonged use of the Pill, injected or rod-type hormonal contraceptives may also lead to an under supply of oestrogen. What are the symptoms of vaginal thinning? This can cause symptoms such as: Vaginal itching and burning Dryness and loss of lubrication Incontinence and urinary urgency Prolapse and laxity Vaginal and vu