“…Estrogen and progesterone receptors are present in the trigone and urethra,12–14 suggesting that these structures may be affected by hormonal decline 15–17. Decreased estrogen levels trigger atrophy of the urogenital mucosa, involution of the vascular plexus (as confirmed by expression of vascular endothelial growth factor; VEGF),18–21 and increased collagen deposition in relation to smooth muscle in the urethra 18, 19, 22–26…”