Genito Urinary Syndrome of Menopause “A New Terminology for an Ever-Present Symptomatology”
Journal Title: Open Access Journal of Reproductive System and Sexual Disorders - Year 2018, Vol 1, Issue 5
Abstract
The genitourinary syndrome is a chronic and progressive entity characterized by symptoms such as vaginal irritation, burning, dryness, dyspareunia, dysuria and urinary urgency that affect the quality of life of most postmenopausal women. The aim of this article will be to review the terminology and the latest studies and recommendations regarding diagnosis, characteristics of the medical approach, observation of physical signs, relay of symptoms and implications for quality of life and therapeutic alternatives. During the climacteric period, the decrease in estrogen production by the ovaries results in various changes in different organs and systems of the body. Estrogen deficiency is translated into disturbances in metabolism, sleep and mood; vasomotor symptoms (VMS) such as hot flashes and sweating, as well as changes in skin elasticity and bone mineral density among others. The Vulvar and vaginal atrophy (VVA), resulting from the loss of estrogenic stimulation, is characterized by the thinning of the epithelial lining of the vagina and lower genitourinary tract, the loss of vaginal elasticity, vaginal dryness and an increase of vaginal pH [1]. Although this is a frequent, progressive and chronic entity, it continues to be underdiagnosed, little talked about and therefore undertreated in medical consultations, resulting many times in severe conditions that could have been avoided with an earlier diagnosis and approach [2]. Throughout this article the following points will be reviewed: the main characteristics of the GSM, its impact on the daily life of postmenopausal women (PM), its approach in the medical consultation and the main therapeutic options.
Authors and Affiliations
Gelin Marina, Belardo Alejandra, Pilnik Susana, Garcia Paola
Keywords
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- EP ID EP639736
- DOI 10.32474/OAJRSD.2018.01.000125
- Views 73
- Downloads 0
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