Also known as: vulvovaginal atrophy, vaginal atrophy, genitourinary syndrome of menopause, and estrogen deficient vaginitis
Primarily occurs in peri or postmenopausal women
Conditions or medications that induce a low estrogen state:
Natural menopause
Bilateral oophorectomy
Spontaneous premature ovarian failure
Ovarian failure due to radiation or chemo
Medications: tamoxifen, danazol, medroxyprogesterone, leuprolide, ganirelix
Postpartum reduction in estrogen production
Prolactin elevation
Natural menopause
Bilateral oophorectomy
Spontaneous premature ovarian failure
Ovarian failure due to radiation or chemo
Medications: tamoxifen, danazol, medroxyprogesterone, leuprolide, ganirelix
Postpartum reduction in estrogen production
Prolactin elevation
Atrophic vaginitis
Infection 
Bacterial vaginosis
Reaction to irritants 
Rhinorrhea
Vulvovaginal lichen planus
Contact vulvovaginitis
Vulvar lichen sclerosus