Peter Attia· MD
with combined contraception it's probably most noted in the research is that a small percentage of women get that high level of estrogen but the vvo vagin mucosa doesn't recognize it right and you can develop a vestibul Denia a vestibulitis that particularly the that the the vestibules that tissue around the entrance to the vagina not so much inside the vagina but that surrounding tissue called the vestibule is very sensitive to the drop in these the endogenous estradi and the synthetic estrogens sometimes don't do their trick and they can develop a vestibul adenia meaning pain and dryness and almost look like a post-menopausal woman when it comes to that