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

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Article summary

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Suspect genitourinary syndrome of menopause (GSM) if one or more of the following are present:

Vulvovaginal symptoms:

  • Irritation
  • Discomfort
  • Burning
  • Itching
  • Dryness
  • Dyspareunia
  • There may be loss of libido due to vaginal dryness and dyspareunia.

Urinary symptoms:

  • Dysuria
  • Urinary frequency and urgency
  • Recurrent lower urinary tract infections

Examination is recommended for women with genitourinary symptoms, both to confirm the diagnosis and rule out other vulval conditions. However, a normal examination does not exclude the diagnosis of GSM.

For more information on examination, see the assessment section

Note:

Treatment does not need to be delayed if an examination is declined or not possible during the initial consultation. However, if symptoms do not improve despite treatment a genital examination is recommended to revisit the diagnosis.

Additional Information:

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