Women’s intimate health unit · Askabide Klinika
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Menopause and genitourinary health

Genitourinary syndrome of menopause: it affects more than the vagina.

It groups vulval, vaginal, sexual and urinary changes and symptoms associated with lower oestrogen. The broader name reflects that several areas may be affected at the same time.

Vulva and vaginaSexual healthUrinary symptoms
Woman in the menopause stage, illustrating genitourinary health
What to know

The information on this website is general and does not replace an individual consultation, diagnosis or medical recommendation.

01

Symptoms it may include

Dryness, burning, itching, irritation, reduced lubrication, pain during sex, discomfort with urination, urgency and recurrent urinary problems may be part of GSM. Not every woman has the same group or severity of symptoms.

02

Assessment rules out other causes

Infections, vulval skin conditions, lesions, pelvic-floor dysfunction and other problems can produce similar symptoms. History and examination help decide whether changes are compatible with GSM or need another investigation.

03

Options with different levels of evidence

Depending on symptoms and history, moisturisers, lubricants, prescribed local treatments and other options may be considered. A history of hormone-dependent cancer or specific treatment requires coordinated individual decision-making.

Recent guidelines remain cautious about energy-based devices: laser should not be presented as a universal cure or an automatic substitute for established treatment.

04

Follow-up matters

Response, tolerance and new symptoms are reviewed. Postmenopausal bleeding always requires assessment and should not simply be attributed to dryness or atrophy.

FAQ

Frequently asked questions

Does GSM go away by itself?
Unlike some hot flushes, genitourinary symptoms may persist or progress. Treatment options exist and assessment is worthwhile when wellbeing is affected.
Does it include urinary infections?
It can be associated with urinary changes and recurrent infections in some women, but each episode still requires appropriate assessment.
Can I receive treatment after breast cancer?
Options may exist, but the choice is individual and may need coordination with oncology or the team responsible for follow-up.
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