Vaginal dryness - women will know it when it happens.  It may manifest itself as pain during sexual intercourse or vaginal itching and burning that didn’t happened in the past.  All a woman knows is that it is disrupting the quality of her life and her sexual fulfillment yet most women do not bring up the situation with their doctor. Whether because of embarrassment or thinking it is an inevitable part of growing older so just accept it, vaginal dryness or other symptoms of vaginal atrophy should not be kept in the dark.