28/04/2026
GSM - Genitourinary Symptoms of Menopause is a collective term for several bothersome niggles that start to occur during perimenopause and can remain at/after menopause.
GSM is actually one of the earliest signs of perimenopause because of how sensitive this area is to the slow decline in estrogen.
Which area are we talking about ~ the va**na, l***a, bladder and urethra.
Symptoms under the GSM umbrella include:
☂️ Dryness and decrease lubrication.
☂️ Itchy, irritable and burning of the v***a
☂️ Bladder irritability ~ constant need to wee or feeling like you haven’t emptied.
☂️ Bladder infections
☂️ Leaking urine
☂️ Pain with in*******se.
As estrogen declines these tissues thin out, become more inflamed and fragile. The ph of the va**na also changes which means the happy mircobiome shifts.
Things that can help :
• Topical va**nal estrogen (available OTC)
• Vaginal moisturizers with HA in it.
• Lubrication for in*******se.
• Topical Testosterone (prescribed by medical Dr)
Seeing a pelvic floor therapist can also help relax the pelvic floor muscles that become guarded and strained when under stress.
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