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What is Genitourinary syndrome of menopause?

Written by Benjamin Lee - Bioidentical Hormone Replacement Therapy Consultant - January 31, 2023

What is Genitourinary Syndrome of Menopause?

Genitourinary syndrome of menopause (GSM) is a term for the series of symptoms that some women experience as they enter menopause. It is caused by changes in hormone levels, primarily decreased estrogen. Symptoms may range from mild discomfort to painful and even disabling symptoms. While these are not life-threatening, it's important to recognize the signs so the right treatment can be found to address them.

The most common symptom associated with GSM is dyspareunia, or pain during sexual intercourse. This is due to thinning vaginal walls which are no longer lubricated and become dry and irritated during sexual activity. Additionally, there may be other issues such as decreased libido, UTI infections, burning sensation when urinating, and itching or irritation around the urethral opening. In more severe cases bladder control and urgency problems may occur due to weakened pelvic floor muscles.

Other associated symptoms include urinary incontinence, genital atrophy, vulvovaginal atrophy (VVA), and recurrent urinary tract infections (UTIs). Treating these issues usually involves hormone therapy like topical estrogen creams or tablets taken orally. The aim of this treatment is to raise the level of estrogen in order to reduce inflammation in the vagina and improve thinning tissue walls by promoting collagen production.

There are other treatments available depending on your individual needs:

  • Pelvic floor muscle training can strengthen muscles that have been weakened due to childbirth or aging causing deterioration of pelvic organs
  • Overactive bladder medications such as anticholinergics can help relax bladder muscle contractions that lead to frequent urination episodes
  • Bioidentical hormones are available as an alternative hormone therapy option that uses hormones derived from plant material instead of synthetic drugs

Women who are looking for personalized care related to their genitourinary issues should consider BHRT Pro Center for comprehensive treatments tailored specifically for their situation. At BHRT Pro Center we understand how GSM affects our patients' lives and make sure they receive proper treatment so they can enjoy healthy living without any disruption due to menopausal symptoms. We work with medical professionals from different fields in order to provide complete treatments capable of fully addressing your condition!

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