Gabrielle Kassel, February 13, 2020

You can blame lower estrogen levels for this one, too. Reduced estrogen can cause the vaginal tissue to thin, which makes vulva-owners more prone to micro-tears, according to double board-certified in OB/GYN and director of perinatal services at NYC Health and Hospitals/Lincoln, Dr. Kecia Gaither, MD, MPH, FACOG. “When there are little micro-tears in the vaginal wall, pathogens are more-easily able to enter the body, which increases the likelihood of STI transmission from an infected partner,” she says. 

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