

STOP Ignoring These Silent Symptoms of GSM (Genitourinary Syndrome of Menopause)!
Jan 19, 2025
Dr. Shafeena Premji, a GP and women’s health expert on the Canadian Menopause Society board, dives into the often-ignored Genitourinary Syndrome of Menopause. She highlights common symptoms like vaginal dryness and urinary issues that many women face but rarely discuss. The conversation emphasizes the importance of hormone therapy and patient education to manage these symptoms effectively. Shafeena also explores how women can regain confidence and balance during menopause, advocating for a holistic approach to health and self-acceptance.
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Understanding GSM Scope
- Genitourinary syndrome of menopause (GSM) includes symptoms in the vulvovaginal area, urinary tract, and sexual function.
- It replaced the term vulvovaginal atrophy to broaden understanding of menopausal changes.
Succulent Grape vs Raisin Analogy
- Shafeena Premji uses the analogy of a "succulent grape" versus a "shriveled raisin" to describe vulvovaginal changes in menopause.
- This illustrates tissue thinning, dryness, tightness, and pain with intercourse.
Estrogen Loss Impacts Urinary Health
- Estrogen loss alters vaginal pH from acidic to basic, reducing protective lactobacilli.
- This shift increases urinary tract infections and causes urinary symptoms like urgency and frequency.