4 responses to “Genitourinary syndrome of menopause (GSM) — a refresher”

  1. As a paramedic in Alberta,I do not deal with this to the same extent, however that said I have from time to time and have found this very helpful.

  2. Thanks for the new information to me regarding the SERM and the DHEA vaginal insert.
    Nice to have a review of this subject. It surprises me that it’s reported that 50% of post menopausal patients haven’t had any discussion about genitourinary symptoms.

  3. The author writes “For example, while vaginal laser treatment has become increasingly popular, a recent study showed no improvement compared to sham treatment after 1 year.”

    And yet the article referenced states:
    Conclusions and Relevance This systematic review and meta-analysis of RCTs found that vaginal laser treatment is associated with similar improvement in genitourinary symptoms as vaginal estrogen therapy. Further research is needed to test whether vaginal laser therapy could be a potential treatment option for women with contraindications to vaginal estrogen.

  4. I’m happy to hear newer products/alternatives are available for post-menopausal women’s health, but I’m not sure giving them the same weight as well studied vaginal estrogen is appropriate. The offhand mention of “over the counter” vaginal moisturizers also puts all of these products on the same level ignoring some quality data showing benefits from intravaginal hyaluronic acid.

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