Decreased estrogen levels can affect your vagina and urinary tract during menopause. Over time, your vaginal skin can get thinner, dryer, and less elastic. The decrease in estrogen can also do the same for your urinary tract. As a result of these changes, many women have symptoms such as dryness and burning, pain with intercourse, dryness or bleeding during intercourse, more frequent vaginal or urinary infections and urinary frequency.