genitourinary syndrome of the menopause

Genitourinary syndrome of the menopause, GSM, is a term used to describe the vaginal, vulval and bladder symptoms. These are rich in oestrogen receptors, so when oestrogen levels fall in perimenopause and remain low in menopause this can lead to changes in the vulva, vagina, bladder and pelvic floor muscles. This condition affects 80% of […]