Genitourinary Syndrome Of Menopause (GSM)
What is GSM?
Genitourinary syndrome of menopause (GSM) is a new term that describes various menopausal symptoms and signs including not only genital symptoms (dryness, burning, and irritation), and sexual symptoms (lack of lubrication, discomfort or pain, and impaired function, but also urinary symptoms (urgency, dysuria, and recurrent urinary tract infections).
The terms vulvovaginal atrophy and atrophic vaginitis, which were generally used until recently, had a limitation because they did not cover the full spectrum of symptoms and did not imply that the symptoms are related to a decreased estrogen level in menopause. Since GSM may have a profound negative impact on the quality of life of postmenopausal women, women should be made aware of these problems and treated with an appropriate effective therapy.
Treatments for Genitourinary Syndrome of Menopause (GSM)
O-Shot® /PRP
O-Shot® / PRP is a non-surgical procedure that utilizes platelet-rich plasma to rejuvenate and enhance sexual wellness by promoting tissue regeneration and increasing sensitivity in the genital area.
MonaLisa Touch®
MonaLisa Touch® is a gentle laser treatment that stimulates collagen production in the vaginal tissues, helping to improve vaginal health and alleviate symptoms such as dryness, pain, and itching.
ThermiVa®
ThermiVa® is a non-surgical vaginal rejuvenation treatment that uses radiofrequency energy to stimulate collagen production and improve vaginal laxity, dryness, and mild urinary incontinence.
Topical HRT (Hormone Replacement Therapy)
Topical hormone replacement therapy (HRT) is a promising treatment option for women with chronic cystitis and recurring urinary tract infections. At Southern Urogynecology, our team of experts offers personalized HRT plans that target the root cause of your symptoms. By restoring hormonal balance to your urinary tract, our topical HRT can alleviate pain, prevent infections, and improve your quality of life.
Topical Medications
Genitourinary Syndrome of Menopause (GSM)
Frequently Asked Questions
GSM refers to a set of symptoms that occur due to decreased estrogen levels during menopause, leading to changes in the urinary system and genital tissues.
Common symptoms include vaginal dryness, itching, burning, urinary urgency, frequency, recurrent urinary tract infections, and painful intercourse.
GSM occurs due to the decreased production of estrogen during menopause, which leads to thinning and drying of vaginal tissues, loss of elasticity, and changes in the urinary system.
GSM is generally diagnosed based on the symptoms reported by the patient. A pelvic exam may be conducted to identify physical changes in the vaginal tissues. Additional tests, such as vaginal pH measurement or a biopsy, may also be performed.
Treatment of GSM may include over-the-counter vaginal moisturizers or lubricants, hormone replacement therapy (estrogen), localized estrogen therapy, low-dose vaginal estrogen, and certain lifestyle modifications. Medications, such as selective estrogen receptor modulators, may also be prescribed.
Some women find relief from GSM symptoms by using natural remedies like dietary changes, herbal supplements, and vaginal moisturizers with natural ingredients.
GSM is a chronic condition that typically lasts beyond the menopausal transition. However, with appropriate treatment and management, the symptoms can be effectively controlled.
GSM itself is not a serious health condition, but it can significantly affect a woman's quality of life. Additionally, GSM may increase the risk of urinary tract infections, urinary incontinence, and other vaginal disorders.
GSM cannot be prevented entirely, as it is a natural consequence of menopause. However, maintaining a healthy lifestyle, staying sexually active (if comfortable), and practicing good genital hygiene may help minimize symptoms.
If you are experiencing symptoms of GSM that are affecting your quality of life, please contact Dr. Pezzella and her team today. They can provide an accurate diagnosis, offer appropriate treatment options, and address any concerns you may have.
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