Genitourinary syndrome (GSM)
  • 10 Dec 2023
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Genitourinary syndrome (GSM)

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Article summary

  • Genitourinary syndrome of menopause (GSM) was previously called vulvovaginal atrophy, atrophic vaginitis or urogenital atrophy.
  • The new terminology was introduced because the word atrophy has negative connotations for some women, the word vagina is not a generally accepted term for public discourse and the new term was felt to be more inclusive of urinary symptoms.

  • It describes the signs and symptoms caused by loss of oestrogen in the genitourinary tract.
  • Symptoms can present a number of years after the menopause and, without treatment, usually get worse with time, which can negatively affect the quality of life and sexual relationships.
  • It is reported to be experienced by 50% of menopausal women.
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