Radiation Therapy: Radiation treatment for pelvic cancers can lead to scarring and narrowing of the vaginal canal. Surgical Procedures: Surgeries involving the vaginal or pelvic area can result in scar tissue formation, leading to stenosis. Postmenopausal Changes: Decreased estrogen levels during menopause can cause vaginal atrophy and narrowing. Congenital Abnormalities: Some women are born with anatomical anomalies that can cause stenosis. Infections and Inflammatory Diseases: Chronic infections or conditions like lichen sclerosus can lead to scarring and narrowing over time.
