Internal vaginal pain during menopause may be caused by vaginitis and estrogen decline. 1. Vaginitis: If a woman’s vagina is attacked by bacteria and other pathogens, then it will stimulate the local mucosa, thus causing vaginitis, which manifests itself as localized pain, itching and other symptoms. 2. Estrogen decline: generally to menopausal women, the secretion of estrogen will decline, the female reproductive tract lost the role of estrogen, then there may be vaginal atrophy or vaginal dryness, if the outside world to stimulate, then it will also lead to the phenomenon of pain. Menopausal vaginal pain may also exist in other causes, it is recommended to go to the hospital when it occurs, choose the appropriate treatment treatment.