Genitourinary Syndrome of Menopause (GSM): Why We Need to Talk About It (and What You Can Do)

It’s no secret that women’s health often doesn’t get the attention it deserves—especially when it comes to midlife changes like menopause. In fact, many of the common conditions that women experience, such as Genitourinary Syndrome of Menopause (GSM), tend to be overlooked, underreported, and misunderstood. But that’s starting to change. 

In a recent Forbes article highlighting companies working to advocate for women, it became clear that organizations are finally pushing to address the unique needs of women. At Solv Wellness our mission is simple: to give women access to real, research-driven products designed to address the challenges of midlife health. We are passionate about breaking down the stigma around menopause and pelvic health and providing women with the tools they need to thrive. 

What Exactly Is GSM? And Why Is It So Common? 

Genitourinary Syndrome of Menopause, or GSM, is the fancy medical term for the collection of uncomfortable symptoms that happen as estrogen levels decline during menopause. It’s something most women will face—yet it’s rarely discussed. 

Some of the most common symptoms include: 

  • Vaginal dryness (we’ve all heard it, but many don’t realize how common it is) 
  • Pain during sex (uncomfortable intimacy is a common and treatable issue) 
  • Urinary urgency and frequency (those extra bathroom trips aren’t just random) 
  • Recurrent UTIs (the frustration of infections that just keep coming back) 

Despite how prevalent GSM is, many women assume it’s just a part of “getting older.” Spoiler: it doesn’t have to be. The sooner we bring these issues into the open, the sooner women can find the relief they deserve. 

Why Are We Still Not Talking About GSM? 

It’s 2024, yet GSM remains a condition shrouded in silence. So, what gives? Well, it’s a combination of a few things: 

  • Menopause is still taboo: Even in progressive circles, menopause often gets brushed under the rug. 
  • Misinformation: Many women believe GSM symptoms are something they just have to 'live with' as part of aging.
  • Embarrassment: Vaginal dryness? Pain during sex? Frequent UTIs? These topics might not feel like easy conversation starters—but they should be. 
How Can You Manage GSM? Relief Is Possible 

Here’s the great news: while GSM may be common, it’s also highly treatable. A range of effective treatments can help you reclaim your comfort and confidence, whether you’re dealing with vaginal dryness, painful intercourse, or frequent UTIs. 

Some options worth exploring include: 

  • Vaginal estrogen therapy: Used to help restore moisture and elasticity to vaginal tissues, offering relief from dryness and discomfort.   
  • Moisturizers: For immediate comfort, vaginal moisturizers provide long-lasting hydration and make intimacy more comfortable. Moisturizers are designed to be absorbed into the skin to help heal the tissues and provide ongoing moisture when used regularly. 
  • UTI prevention strategies: For those who struggle with recurrent UTIs, cranberry supplements can help prevent bacteria from sticking to the urinary tract, lowering the risk of infections. Vaginal estrogen is also great for UTI prevention as well in peri- and post-menopausal women. Both cranberry supplements and vaginal estrogen are listed in the American Urological Association (AUA) guidelines as prevention methods for UTIs.

But what about your overall pelvic health? A proactive approach is key, and one of the simplest ways to support your gut, vaginal, and urinary tract health is through the use of a daily probiotic. Probiotics are designed to promote healthy bacteria and maintain balance, which can reduce your risk of both UTIs and vaginal discomfort.  It’s important to remember that treatment isn’t one-size-fits-all. Consulting your healthcare provider is a great first step toward finding the right combination of treatments for your needs. 

Starting the Conversation: Don’t Be Afraid to Speak Up 

One of the most important steps toward finding relief from GSM is starting the conversation with your healthcare provider. It may feel uncomfortable to discuss symptoms like vaginal dryness or frequent UTIs, but talking about these issues is the first step to getting the help you need. 

Here are a few tips for bringing up GSM with your doctor: 

  • Be specific about your symptoms: Don’t hesitate to describe exactly what you’re experiencing, whether it’s dryness, pain, or urinary issues. 
  • Ask about treatment options: From topical estrogen to over-the-counter solutions like moisturizers or probiotics, there are plenty of options to explore. 
  • Know that you’re not alone: GSM is incredibly common, and your doctor will have experience treating other women with similar symptoms. 

If your concerns aren’t being taken seriously, don’t be afraid to seek a second opinion or ask for a referral to a specialist, such as a urologist, gynecologist, or pelvic floor therapist. 

Learn More and Take Charge of Your Health 

Managing GSM is possible, and you don’t have to navigate it alone. There are numerous resources available to help you understand your symptoms and explore treatment options. 

For more information on GSM and other midlife women’s health topics, consider visiting The Menopause Society. 

If you’re interested in learning more about how companies are addressing these important issues affecting women, take a look at this Forbes article, which highlights efforts to bring women’s health, safety and more into the mainstream conversation.  

Article Tags: