when we quit producing enough estrogen, the atrophy occurs. i'm not positive that the "use it or lose it" approach is medically correct.......it does help to stay sexually active but some women still need the HRT cream to not "dry up" and blow away......and a good lubricant may be needed also. as we age, the chichi changes......(my mother's caregiver named it that) the tissue becomes thinner and drier.

and for a lubricant, try to find a water-based one as the glycerin based ones can cause some women to have frequent yeast infections. you have to look around a bit more, like online, but there are very good water based and natural lubricants available.