Too young for vaginal dryness?

Patient: I’m 20 years and am having vaginal dryness to the point where it hurts to walk from the friction caused. Last year I had an ectopic pregnancy and had to get an ovary and a Fallopian tube removed because it ruptured. Could this have something to do with it? There is no odor and very minor itching. I M Also not on any medication or birth controlnt and my periods are normal.

Doctor: