( ( ( Changes ( in ( ( the ( Vaginal Area ) ) ( The loss ) ) ) ) ( of ( estrogen ( in menopause ) ) ) ) ( ( may ( ( cause changes ) ( in ( the vagina ) ) ) ) . ) )
(ROOT (S (NP (NP (NNS Changes)) (PP (IN in) (NP (NP (DT the) (NNP Vaginal) (NNP Area)) (NP (DT The) (NN loss)))) (PP (IN of) (NP (NP (NN estrogen)) (PP (IN in) (NP (NN menopause)))))) (VP (MD may) (VP (VB cause) (NP (NNS changes)) (PP (IN in) (NP (DT the) (NN vagina))))) (. .)))
Changes in the Vaginal Area The loss of estrogen in menopause may cause changes in the vagina.
(ROOT (S (NP (NNP Estrogen)) (VP (VBZ causes) (NP (NP (DT the) (NNS changes)) (PP (IN of) (NP (NN puberty))))) (. .)))