Treatment Gaps in the Management of Genitourinary Syndrome of Menopause

Genitourinary syndrome of menopause affects most postmenopausal women and gender-diverse persons. Many will notice symptoms before the cessation of menstruation, related to declining hormone levels. Our aim was to assess genitourinary syndrome of menopause incidence among those referred to a specialised Canadian menopause clinic and identify potential gaps in care. Among 529 participants, 74% reported bothersome vaginal dryness; however, only 10.9% had been prescribed a local vaginal hormone before referral. With long wait times for menopause clinics, our results highlight an important area for education for all providers caring for women and gender-diverse persons in midlife and menopause.