VA is vaginal atrophy . Happens to many women post menopause & is not often talked about.
I had/have it & it was hell until I saw a GP who realised what it was.
I'm going to copy & paste from a post a made about it some time ago - it's something I think women should be far more aware of as it is a problem that is easily solved.
"Vaginal Atrophy (VA) is what happens post menopause & it is my mission to make more women aware of it.
Basically (& you can google for the finer details) the lack of eostrogen causes great dryness up your fanjo. It makes sex painful & also leads to itchiness that makes thrush seem mild. It is horrible & causes enormous discomfort. I had to rush to the loo just to scratch - the itchiness is almost unbearable. The itch is both inside your fanjo & all over your vulva
If you are menopausal or post menopause & get an itch and/or great dryness do look at the possibility that it could be VA & go to see your GP.
It is easily sorted out with topical eostrogen in the form of 'Vagifem', a small pessary that is inserted into the vagina with an applicator.
You need a 25mcg dose daily for 2 weeks & then twice weekly for 4 weeks & then a maintenance dose of 10mcg twice weekly.
There is a great deal of argument about giving women vagifem long term &, it seems to me, that many health professionals are not up to date with recent research.
I discussed this with my GP with this piece of research:
www.menopausematters.co.uk/newsitem.php?recordID=83
You do need to keep up to date with mammograms & smears but otherwise no side effects.
I tell a lie about the side effects - it has hugely helped my pelvic floor (this is well documented). I can now cough without fear of leakage.
I was lucky & had a GP who instantly diagnosed VA - but, sadly, it is not something that is well known or discussed.
IT NEEDS TO BE! (I know I am shouting!)
For post menopausal women it is a massive discomfort & indignity that they do not need to suffer, as it is easily managed, & women need to be aware of it."