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Menopause, skin and common dermatosis. Part 3: genital disorders
Esra Musbahi1, Erin Kamp1, Mariha Ashraf1
1Department of Dermatology, University Hospitals Sussex NHS Foundation Trust, Brighton, UK.
Clinical and Experimental Dermatology
|September 14, 2022
Summary
Menopause causes low oestrogen, leading to genitourinary syndrome of menopause (GSM) affecting vulvar health. Understanding GSM symptoms and management is crucial for women
Area of Science:
- Gynecology
- Menopause Research
- Vulvar Health
Background:
- Oestrogen is critical for maintaining vulvovaginal epithelium, lubrication, and a healthy acidic vaginal microbiome.
- Declining oestrogen during menopause causes significant physiological and physical changes in the female genitourinary system, particularly the vulva.
Purpose of the Study:
- To review the effects of low oestrogen on vulvar physiology and the vulvovaginal epithelium.
- To discuss the signs, symptoms, and management of Genitourinary Syndrome of Menopause (GSM).
- To explore other vulval dermatoses impacted by hypoestrogenism.
Main Methods:
- A comprehensive literature review was conducted.
- The review focused on studies detailing the impact of low oestrogen on vulvar health and GSM.
Main Results:
- Low oestrogen levels lead to Genitourinary Syndrome of Menopause (GSM), characterized by specific signs and symptoms.
- GSM symptoms can overlap with other vulval dermatoses, complicating diagnosis and management.
- Expert clinical opinion is essential for accurate diagnosis and effective treatment of vulval conditions in menopausal women.
Conclusions:
- GSM is a significant consequence of oestrogen decline in menopause, affecting vulvovaginal health.
- Comprehensive management strategies are available for GSM and related vulval conditions.
- Further research and clinical expertise are needed to address the complexities of vulvar health during menopause.
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