Genitourinary syndrome of menopause (GSM) involves changes in the vagina, vulva and urinary tract related to declining estrogen levels. It can cause dryness, itching and discomfort when urinating or during sex. At La Maleta Roja, we often hear from women who have been living with these symptoms for a while without knowing they have a name or that they can ask about ways to relieve them.
This is not discomfort you have to put up with in silence. It’s important to discuss your symptoms with a healthcare professional to find out what’s going on and what care or treatments are right for you.
Why it so often goes untreated
Many women associate vaginal dryness, stinging, discomfort during sex or urinary symptoms with the inevitable passage of time. Because they often appear gradually, it’s easy to consider them normal and put off seeking advice.
On top of that, talking about intimacy or urinary discomfort can still feel embarrassing. Putting a name to what’s happening can be the first step toward getting help.
What’s happening in your body
The drop in estrogen during menopause can affect vaginal and urinary tissues: they may become thinner and less elastic, and natural lubrication may decrease. Symptoms aren’t limited to intimacy; they can also affect day-to-day life.
Unlike other menopause symptoms, GSM can persist or get worse if it isn’t addressed. If you notice discomfort, talk to your gynecologist or healthcare professional.
Practical tips
- Don’t wait until the discomfort is severe before seeking advice.
- Ask which care and treatment options are right for your symptoms; vaginal moisturizers and lubricants serve different purposes.
- If you have urinary discomfort or recurrent infections, mention it at your appointment.
- You don’t have to put up with discomfort out of embarrassment.
Between us
The itching, the stinging, needing to go to the bathroom every few minutes… These are the kinds of things almost no one talks about, even though almost all of us have experienced them. At our get-togethers, when one person works up the courage to say, “I get cystitis every two months,” three more hands suddenly go up. And with them comes the relief of knowing you’re not some kind of oddball. Many women have been putting up with it for years, thinking it’s bad luck or that “it’s just the way things are.” We don’t diagnose or treat—that’s your doctor’s job. But here’s something we say often: if it keeps happening, it’s not normal. Make an appointment, tell them everything without feeling embarrassed, and don’t leave without understanding what’s going on.
Frequently asked questions
Is genitourinary syndrome of menopause the same as vaginal dryness?
No. Vaginal dryness can be one of its symptoms, but GSM can also involve vulvar changes and urinary discomfort.
Why do so few people seek advice?
Embarrassment, considering symptoms normal and a lack of information can all delay seeking advice. If you’re experiencing discomfort, ask a healthcare professional for guidance.
Does GSM get better over time, like hot flashes?
It can persist or get worse if it isn’t addressed. Ask your healthcare professional what options are available for you.
Can GSM be linked to recurrent urinary tract infections?
Changes in urinary tissues can make them more likely. If this happens to you, mention it at your appointment so they can look into the cause.
Are local hormone treatments available?
Yes, a healthcare professional can assess the options based on your symptoms and medical history.
Can it occur after a non-natural menopause?
It can also occur after surgical menopause or menopause induced by certain treatments. If you have symptoms, consult your specialist.
Can it affect everyday life, not just intimacy?
Yes. Urinary discomfort, for example, can affect everyday activities.
If you’d like to learn about an intimate care product, you can take a look at Intim Oil. It doesn’t replace a professional assessment or the treatment recommended for GSM.
