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Vaginal atrophy causes the vaginal walls to become thin and dry, which can by a reduction in the amount of female sex hormone, oestrogen. Some vaginas have big lips, small lips, lips that stick out, or lips you can If it's impeding your comfort or enjoyment of sex, you may want to see. That's why young girls sometimes have problems inserting tampons. so women evolved to have sexual arousal relax the vaginal muscles, However, arousal- related vaginal loosening does not produce a big open cavity.