When women stop having sex for a long time, does the vagina really “shut down” or disappear? In this video, Dr. Rena Malik busts the “use it or lose it” myth and explains what actually happens to the vagina and vulva with sexual inactivity—especially before and after menopause. She breaks down changes in lubrication, tissue elasticity, pelvic floor muscles, and desire, and shares practical options like vaginal estrogen, moisturizers, lubrication, pelvic floor work, and better communication with
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