Genitourinary syndrome of menopause

Area of Science:

• Women's Health
• Menopause Management
• Genitourinary Health

Background:

• Genitourinary syndrome of menopause (GSM) is the updated term for vulvovaginal atrophy (VVA).
• Estrogen deficiency causes bothersome genitourinary symptoms in over 50% of women.
• GSM negatively affects quality of life, social interactions, and sexual relationships, and is frequently underdiagnosed and undertreated.

Purpose of the Study:

• To enhance healthcare professionals' understanding of GSM.
• To improve sensitive patient history taking for GSM.
• To guide appropriate and timely treatment for GSM.

Main Methods:

• Literature review on genitourinary syndrome of menopause.
• Analysis of current diagnostic and treatment approaches.
• Discussion of patient-reported barriers to care.

Main Results:

• GSM encompasses a range of conditions including vaginal, vulvar, pelvic floor, and urinary symptoms, alongside sexual dysfunction.
• Over half of postmenopausal women experience these symptoms.
• Significant underdiagnosis and undertreatment persist.

Conclusions:

• GSM is a chronic, progressive condition impacting multiple aspects of women's health.
• Healthcare providers need enhanced knowledge to address GSM effectively.
• Encouraging open communication is crucial for improving patient outcomes.