Clinic Corner: What is Genitourinary Syndrome of Menopause (GSM)?
A relatively new term for long-held menopause challenges, GSM or genitourinary syndrome of menopause encapsulates many of the issues women experience as estrogen declines with age: vaginal dryness, incontinence and an urge “to go,” recurrent urinary tract infections, itching and burning, reduced lubrication and pain during sex. It can affect sleep, relationships and everyday life. Once known as “vaginal atrophy,” GSM shines a light on the experience of menopause, which was often suffered in silence.
“The main goal with GSM is to reduce pain and discomfort so that you can enjoy all of your regular activities,” said Dr. Pam Jordi. “Too many people suffer in silence, thinking these are all ‘normal’ signs of aging and menopause. Talking with your doctor can help unearth issues and solutions that can really increase your overall comfort and quality of life.”
GSM mostly affects women who are postmenopausal, but it can start ahead of menopause as well. The good news is that there are treatments available, including pelvic floor therapy, steroids and other prescription medications, lubricants, vaginal lasers and even vibrators, which can all help to reduce pelvic pain and other GSM symptoms. Your doctor can recommend options based on your individual symptoms and medical history.
“Knowledge is power when it comes to GSM. If you have questions, we are here for you,” Dr. Jordi added.
