Vaginal dryness is a common problem in menopausal women. The decrease in estrogen with menopause is the main cause of vaginal dryness, itching, burning, discomfort, and pain during intercourse. Vaginal atrophy is the medical term that describes these changes. Regular sexual stimulation promotes vaginal blood flow and secretions. Sexual stimulation with a partner, alone, or with a device (such as a vibrator) can improve vaginal health . Advice 1. Apply K – Y lubricating jelly before sex 2. First involve in foreplay before penetrative sex. Discuss with your partner about this. Foreplay increases vaginal blood flow and secretions 3. Start pelvic floor stretching exercise to strengthen pelvic floor muscles 4. Use can use estradiol topical gel but for this you need doctor’s prescription and instruction Not all vaginal symptoms are related to menopause. Other factors such as fungal infections, allergic reactions, and certain skin conditions can affect the vagina, so consult your doctor if symptoms do not improve with above measures. thanks