<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, Ive been experiencing painful urination. Can you tell me what might be the cause?  <response>: Atrophic vaginitis could be the cause of your painful urination. It is a condition where lack of estrogen causes the vaginal tissues to become thin and dry, leading to irritation and pain during urination. Have you been experiencing any other symptoms? 