Vaginal atrophy is a condition that can be accompanied by changes such as thinning of the vaginal wall, loss of elasticity and luster, and narrowing and shortening of the vagina due to a decrease in female hormones. Early management is important because it can lead to urinary discomfort such as pain, bleeding, itching, and burning during sexual intercourse, as well as frequent urination, urgency, and pain during urination.