Although GSM affects up to 45% of midlife and older women, most with the condition go undiagnosed and untreated. 11 Objectively, disturbed sleep has been associated with poorer job performance and increased frequency of accidents, aggression, and use of alcohol. Diagnosis of Gestational Diabetes Mellitus (GDM) could significantly increase the likelihood of health problems concerning both potential risks for the mother, fetus, and child’s development and negative effects on maternal mental health above all in terms of a diminished Quality of Life (QoL). • Dryness, burning sensations, and irritation in the genital area EurekAlert! The current systematic review study is aimed at further … What treatment does Dr Shapiro recommend? How BPH happens, however, is still open for debate. • An urgent need to urinate, painful urination, or recurrent urinary tract infections (UTIs) They felt that the term encompassed the genital, sexual, and urinary symptoms related to estrogen decline in ways that previous terms did not. According to the 2020 position statement, first-line therapies for less-severe symptoms include nonhormone vulvar and vaginal lubricants with sexual activity and long-acting vaginal moisturizers used regularly. Genitourinary syndrome of menopause is a condition comprising the atrophic symptoms and signs women may experience in the vulvovaginal and bladder-urethral areas as a result of the loss of sex steroids that occurs with menopause. Symptoms include: For women with moderate to severe dyspareunia associated with GSM and with concurrent vasomotor symptoms, transdermal and oral hormone therapy are effective options.The position statement additionally points out that long-term studies on the endometrial safety of vaginal estrogen, vaginal DHEA, and ospemifene are lacking. 3 Following exposure to a traumatic event, women are at greater risk than men for developing symptoms of … What hasn't changed is that GSM remains underdiagnosed and undertreated and continues to be a significant quality-of-life issue for women. For more information about menopause and healthy aging, visit Founded in 1989, The North American Menopause Society (NAMS) is North America's leading nonprofit organization dedicated to promoting the health and quality of life of all women during midlife and beyond through an understanding of menopause and healthy aging. Unfortunately, it remains underdiagnosed and undertreated, leaving many women to suffer silently. NAMS endorses educating about and screening for GSM in all perimenopausal and postmenopausal women." provides eligible reporters with free access to embargoed and breaking news releases.EurekAlert! Women do not need to have all of the symptoms to be diagnosed with GSM. But when estrogen levels decline, the vagina can become dry and tight. 1 However, symptoms can be managed with treatment. When a woman goes through menopause, her estrogen levels decrease along with the levels of other steroid hormones. How does this affect a woman's quality of life? Vaginal estrogen is effective GSM treatment. These hormonal drops can lead to a group of genital and urinary symptoms that are called genitourinary syndrome of menopause (GSM). It was developed in 2014 by experts from the International Society for the Study of Women’s Sexual Health (ISSWSH) and the North American Menopause Society (NAMS). offers eligible public information officers paid access to a reliable news release distribution service.EurekAlert! GSM is chronic and progressive. Background and Objective . Genitourinary syndrome of menopause is a fairly new term. Its multidisciplinary membership of 2,000 leaders in the field--including clinical and basic science experts from medicine, nursing, sociology, psychology, nutrition, anthropology, epidemiology, pharmacy, and education--makes NAMS uniquely qualified to serve as the definitive resource for health professionals and the public for accurate, unbiased information about menopause and healthy aging. It is a progressive condition that does not resolve without treatment and can adversely affect a woman’s quality of life. Prazosin has the additional effect of lowering blood pressure and can result in significant orthostatic hypotension. It does not get better over time. It does not get better over time. Genitourinary syndrome of menopause is a fairly new term. The most commonly reported symptoms include irritation of the vulva, inadequate vaginal lubrication, burning, dysuria, dyspareunia, and vaginal discharge.In developing the new position statement, NAMS reviewed current data on a wide variety of proposed treatments to determine their efficacy and safety before making recommendations. The lore among clinicians is that prazosin is helpful; close collaboration with a primary care physician/geriatrician to first lower the dose(s) of existing antihypertensive medications is recommended before initiating prazosin. 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