Genitourinary Syndrome of Menopause (GSM) is used to describe a range of aggravating symptoms that affect the genitals, urinary tract, and sexual function due to a clinical state of hypoestrogenism (low estrogen levels), which occurs during menopause. It is a common occurrence in about 40% of women as they enter menopause. The symptoms can be as mild as simple vaginal dryness, which can be treated with lubricants, or as extreme as pelvic floor weakening, leading to urinary or fecal incontinence and prolapse.
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