When Your Lady Bits Go on Strike: A Survival Guide

Let’s Talk About GSM — Because No One Else Is

Right, let’s talk about something that doesn’t get nearly enough airtime: Genitourinary Syndrome of Menopause (GSM).
In plain English? It’s when your lady bits stage a protest over falling estrogen levels — dryness, irritation, painful sex, bladder issues… the lot.

The American Urological Association has finally stepped in with proper guidelines — hallelujah! Here’s the short version:

Diagnosis: No poking, prodding, or endless tests needed. Your symptoms tell the story. If you’ve got dryness, burning, painful intimacy, or constant bladder infections — that’s enough to get started.

Treatment: The gold standard is vaginal estrogen — creams, tablets, inserts, or rings. It’s safe, effective, and proven to help with dryness, pain, and irritation. It also slashes the risk of recurrent UTIs.

Other Options: Vaginal DHEA and oral ospemifene are solid alternatives. Evidence shows they don’t raise cancer risks, and you don’t need extra monitoring.

Supportive Care: Moisturisers and lubricants can be used alongside treatment for extra comfort.

Skip the Gimmicks: Laser and radiofrequency treatments? Still experimental — save your cash.

GSM is long-term, so you may need ongoing treatment — but the good news? You don’t have to suffer in silence. There are safe, effective options that actually work.

Friendly reminder: I’m sharing what I’ve learned — not medical advice. Always chat with your GP about what’s best for you.

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