Menopause and perimenopause bring with them major changes to the pelvic region, specifically to the vagina.  The vaginal walls can thin and atrophy, making intercourse difficult and even painful.  There is also an increase in recurrent vaginitis and urinary tract infections. So what causes these changes to occur, and what can you do about them or even prevent them from becoming a problem? On this episode of The Holistic Plastic Surgery Show, I’m joined by the nation’s first female board certified..