Menopause

Genitourinary syndrome of menopause (GSM) — a refresher

Genitourinary syndrome of menopause (GSM) — a refresher

By Drs. Kerstin Gustafson and Colleen Dy on May 2, 2023

Women should be proactively educated at routine visits on menopause and the changes in the genital tract and anyone with vulvar and vaginal complaints should be offered a clinical exam to rule out secondary causes. GSM often continues to worsen with time if untreated. Daily use of vulvar and vaginal moisturizers and barrier creams to protect the skin from irritants may be helpful. Use of lubricants for intercourse should be recommended routinely. Many women will require pharmacotherapy in addition to non-hormonal treatments.

female-patient

Step by step approach to determine the safety of prescribing Hormone Replacement Therapy

By Dr. Roberto Leon on June 20, 2017

One of the most complex decisions that women (and their physicians) occasionally need to take in mid-life is whether to use prescription medications for their menopausal symptoms. Previously known as Hormone Replacement Therapy (HRT), Menopause Hormone Therapy (MHT) is an effective and evidence based treatment for moderate to severe hot flashes and/or night sweats (defined as bothersome enough to interfere with daily activities, impair quality of life and/or interrupt sleep).

Non-hormonal treatments for menopausal symptoms

Non-hormonal treatments for menopausal symptoms

By Dr. Taryl Felhaber on May 25, 2016

Every woman transitions through menopause, although not all women have bothersome symptoms. Some women’s symptoms may be so disturbing as to lead them to think they are dying, as was the case with a patient in my practice several years ago.

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