What is vulvo-vaginal atrophy? Vulvo-Vaginal Atrophy (VVA), also known as the Genitourinary Syndrome of Menopause (GSM), is the thinning, drying and inflammation of the vaginal walls due to a decrease in estrogen. Vaginal atrophy occurs most often after menopause, but can also develop during breast-feeding or at other times when the body’s estrogen […]