Vaginal Dryness & GSM: The Conversation No One Is Having
GSM affects over half of women in perimenopause, yet few receive treatment. We explain the 'why' and the safe, effective solutions available.
Verified against Clinical Guidelines
This article was developed and verified against current clinical standards from NAMS, BMS, and the STRAW+10 staging framework.
Genitourinary Syndrome of Menopause (GSM) is the clinical term for the thinning and dryness of vaginal and urinary tissues. Unlike hot flashes, GSM is progressive and typically does not go away on its own. It requires localized hormonal or non-hormonal support.
It's Not Just Vaginal
GSM also affects the bladder and urethra, leading to frequent UTIs or 'urgency.' This is all part of the same hormonal shift in the pelvic floor.
3 Steps for Relief
- Discuss localized vaginal estrogen (cream, pessary, or ring) with your doctor—it is safe for most women.
- Use a high-quality, water-based lubricant for intercourse.
- Wear breathable, cotton underwear and avoid scented soaps.
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