A common complaint in older women, especially following menopause. The vaginal lining becomes dry and may crack and/or bleed, resulting in painful intercourse. Cause: Reduced levels of female hormone (estrogen). This condition can be greatly improved by using a vaginal moisturizer from any pharmacy. A doctor may prescribe estrogen in the form of a vaginal cream, pills, or a patch to restore the damaged vaginal lining to a healthy condition.