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Genitourinary Syndrome
of Menopause

GSM is the medical term for both vaginal and bladder symptoms associated with decreasing estrogen levels due to perimenopause and menopause. The vagina, labia, urethra (tube from bladder to the outside), and lower part of the bladder all originate from the same cells during embryological development and all respond to estrogen. So, when estrogen decreases during the menopausal transition, we can have not only vaginal symptoms, but bladder symptoms too.​

 Unlike hot flashes and night sweats, these symptoms do not tend to get better with time. Most women don't talk to the their doctors and never get treatment... Reach out today so that you can feel like yourself again!

Symptoms of GSM

Treatment of GSM

Topical vaginal estrogen is the first line treatment for GSM. Almost anyone can use this because it doesn't increase blood levels of estrogen, and there are few side effects. This comes in many different forms (cream, tablet, ring). If this is not effective, there are other treatment options such as a pill (Osphena) and vaginal DHEA (Intrarosa). 

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According to internet surveys in women >40 years old:

  • 85% report vaginal dryness 

  • up to 59% report pain with sex

  • up to 77% report vaginal itching or irritation

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