As estrogen levels drop with age, the outer structures of the vulva can change too—thinning, dryness, and discomfort are more common than most women realize. In this clip, urologist Kelly Casperson, MD explains it perfectly: what you’re feeling isn’t “in your head,” and it’s not something you have to just live with. These changes are biological, and understanding them is the first step to getting real relief. If you’ve noticed dryness, irritation, pain with intimacy, or changes in how things loo