Vaginal laxity at menopause is due to decline of Oestrogen hormone production that leads to loss of volume & strength of many feminine tissues that contain Oestrogen receptors that help to maintain the youthful shape & function. At menopause, atrophy (shrinkage) of tissues happens. There is a reduction in the plumpness (bulk/mass) of the pelvic floor muscles and in the vaginal and urinary areas due to diminishing of Oestrogen & its receptors mediating or responsible for both the wellbeing & function of the structures in the feminine area. Deficiency of Oestrogen hormone eventually leads to vaginal dryness and laxity.