As you already know, as we age our skin gets thin. I was experiencing burning pain in the vulvar area, especially after a walk or riding my bicycle. I decided to use a mirror to examine myself and found little bloody tears in the skin which stung terribly. The use of my compounded Estriol Cream each evening has improved this condition considerably. Also, I use Estrogen Patches. When I run out of these prescriptions, I suffer incontinence as well.