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Genitourinary Syndrome of Menopause: Does Everyone Have It?
Jenny Doust1, Annabelle Huguenin2, Martha Hickey2
1Australian Women and Girls' Health Research Centre, Faculty of Medicine, School of Public Health, University of Queensland, Herston, Queensland.
Abstract:
In 2014, the North American Menopause Society and the International Society for the Study of Women's Sexual Health recommended using the term genitourinary syndrome of menopause (GSM) to cover a range of genital and urinary symptoms that might be experienced during and after menopause. The term as currently defined, however, includes symptoms that may not be menopausal symptoms. The term GSM also includes "objective" measures such as vaginal pH that do not relate to symptom severity and are not priorities for clinicians or patients. We question the validity of GSM as a new syndrome and recommend the definition of the syndrome be revised to ensure it more closely reflects the symptoms attributable to menopause and the experience, difficulties, and response to treatment of those affected.
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