Flashes can come on at any time, day or night, but they don't last long. At night, they may disrupt sleep. The loss of estrogen in menopause may cause changes in the vagina. Its lining may become thinner and less flexible. The vagina is drier, which can cause pain during sex.
Some women have vaginal burning and itching.
Others feel discomfort in the clitoris, part of the female genitals involved in sexual stimulation. Some women may need to urinate more often. Painful urination, however, may be a sign of urinary tract infection. Bone Changes and Other Body Changes Bone loss is a normal part of aging. At menopause, the rate of bone loss increases.