The genitourinary syndrome of menopause (GSM) is a new term that describes various menopausal
symptoms and signs associated with physical changes of the vulva, vagina, and lower urinary
tract.
The GSM includes not only genital symptoms (dryness, burning, and irritation) and sexual
symptoms (lack of lubrication, discomfort or pain, and impaired function), but also urinary
symptoms (urgency, dysuria, and recurrent urinary tract infections [UTI])