Atrophic vaginitis is the chronic and progressive inflammation of the vagina due to the thinning and shrinking of the vaginal tissues and is often accompanied by vulvar and urinary pathologies. These symptoms are due to a lack of the reproductive hormone estrogen. About half of all postmenopausal women experience this. However, this condition can occur in other circumstances that result in decreased estrogen such as breastfeeding and the use of medications. It has been proposed that the terms vulvovaginal atrophy and atrophic vaginitis be discontinued and replaced by genitourinary syndrome of menopause. Atropic vaginitis has "a profound negative impact on the quality of life of postmenopausal women." Women report that it reduced "their enjoyment of sexual activity" and decreased their general enjoyment of life.