I have had vaginal atrophy. I'm better inside my vagina, but

Hello from JustAnswer. Yes, vaginal atrophy is very common in women with age due to oestrogen deficiency that occurs after menopause. The post-menopausal trophy is certainly the most common cause of vaginal and vulvar atrophy. There also appears to be a tendency to greater atrophy in certain women, so that they are more sensitive to oestrogen deficiency, and this may be genetic in some women. But even in these women, the oestrogen deficiency is the major issue in developing atrophy. While Livial therapy will usually help with vaginal atrophy, there is some evidence that certain women may do better with vaginal hormone therapy, rather than oral hormone therapy. There are some other conditions that can also cause atrophy, such as lichen sclerosus et atrophicus, which can occur in various places on the body, including a genital manifestation in some people. However, the doctor can usually differentiate post-menopausal atrophy from the medical conditions that can cause atrophy by the appearance on examination. Since your doctor said that it was due to low oestrogen, that would mean that the examination indicates that it is post-meonpausal vaginal/vulvar atrophy. So, yes, it is true that vaginal and vulvar atrophy is commonly due to low estrogen levels, If the Livial and lubrication is not able to get a satisfactory control of symptoms, then vaginal hormones may be another option to consider. If I can provide any additional information, please let me know.