Genito-urinary Syndrome of Menopause (GSM) is a chronic, and progressive disorder of the vagina, vulva, and bladder which occurs in at least 60% of menopausal women and is due to decreased estradiol levels. This decrease in estradiol leads to vaginal dryness, painful intercourse, vulvar dryness, and increased susceptibility for infection in both the vagina and bladder.
There are various treatments for GSM. There are over the counter vaginal moisturizers to alleviate dryness as well as vaginal lubricants to reduce friction and trauma during intercourse. Low dose vaginal estrogen creams and inserts are some of the most effective ways to reduce the dryness.