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Although vulvar and pelvic pain can and do occur in women at midlife and beyond,pain in these areas is also common before menopause. Vulvar pain. The maincauses of vulvar discomfort are: Vulvodynia, a chronic condition involving pain(stinging, burning, irritation, or rawness) in the vulva.

One of the strongest of the androgens, testosterone, often triggers skin conditions that result in menopausal acne. As testosterone levels rise, the skin's sebaceous glands go into overdrive, producing excess sebum, an oily substance that can block pores

As your ovaries age and release fewer hormones, FSH and LH can no longer perform their usual functions to regulate your estrogen, progesterone and testosterone. These inevitable changes in your hormones and natural decline of estrogen levels during menopause can significantly affect your health for years to come.