Genitourinary Syndrome of Menopause (GSM)

Typically affecting postmenopausal women, GSM is a chronic condition characterized by a range of sexual and / or urinary symptoms related to the vulva, vagina, and lower urinary tract. It’s primarily caused by a decline in estrogen levels after menopause, although other sex hormones may also play a role.

Estrogen decline is the most significant factor leading to GSM, as reduced levels after menopause can lead to thinning and inflammation of the vaginal and urethral tissues.

Symptoms of Genitourinary Syndrome of Menopause (GSM)

The most common signs of this condition are:

  • Vaginal dryness, burning, itching, irritation, pain during intercourse (dyspareunia), and decreased vaginal lubrication.
  • Increased frequency and urgency of urination, pain or burning during urination (dysuria), and recurrent urinary tract infections (UTIs).
  • Vulvovaginal atrophy, leading to thinning and reduced tissue bulk and reduced vaginal elasticity
  • Weakened pelvic floor muscles and reduced bladder tension, potentially worsening stress incontinence

To treat the symptoms above and prevent further complications, affected individuals should seek early medical intervention.

Nonsurgical Treatment for Genitourinary Syndrome of Menopause (GSM)

Although many post-menopausal women experience significantly diminished sexual function, urinary health, and diminished overall well-being, a significant number don’t receive treatment for GSM— possibly because of embarrassment or a lack of awareness. However, medical intervention is crucial. One NIH study, for example, showed that 85% of women who were previously sexually inactive due to GSM regained a normal sex life after treatment.

Dr. Aufiero may recommend and / or implement one or a combination of the following non-hormonal solutions to address the underlying causes of GSM:

  • O-shot—a platelet-rich plasma (PRP) procedure designed to increase vaginal lubrication, promote collagen production, stimulate blood vessel formation, and reduce scar tissue naturally and without hormones
  • Shockwave—a noninvasive, machine-based approach to address urinary incontinence, scar tissue, and painful sex by delivering high-energy sound waves to the pelvic floor
  • Electromagnetic Transduction Therapy (EMTT®)—a noninvasive modality using magnetic energy to help stimulate subtle contractions of the pelvic floor and enhance nerve pathways to improve strength, tone, and resilience
  • Lubricants—to help reduce friction during intercourse and provide temporary relief from vaginal dryness; or routine moisturizing, to support hydration of the vaginal tissues and alleviate dryness
  • Prescription compounded analgesic creams—to address pain or burning that may arise as a result of dryness and irritation
  • Referral to a pelvic floor physiotherapist—aimed at addressing pelvic floor dysfunction associated with GSM
  • Referral to a specialist for hormonal therapies, depending on individual needs and circumstances

Visit Orthohealing Center Today!
If you’re navigating this transition and noticing changes in how your body moves or feels, we’re here to help with personalized care that respects your biology and your lifestyle. Book a consultation to receive an accurate diagnosis and learn how Orthohealing Center can support your musculoskeletal health and healing journey!

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