Skip to content

Are you experiencing vaginal dryness, burning, itching, painful sex or problems with urination?

You may have a condition known as GSM. You don’t have to “just live with it” – there are treatment options.

What is GSM?

Genitourinary syndrome of menopause (GSM) is a condition that is characterized by a variety of symptoms resulting from changes in hormone levels during menopause.

How many women does it impact?

The prevalence of GSM is high. It is estimated that at least 50% of women develop GSM symptoms.

What are the symptoms?

Women generally experience a wide range of symptoms with GSM. These symptoms are often bothersome and impact quality of life.

Some of the most common symptoms include:

  • Vaginal dryness, burning, itching
  • Painful sex
  • Decreased lubrication
  • Urinary urgency or frequency
  • Bleeding after sex
  • Frequent urinary tract infections
  • Reduced sexual interest
  • Vulvovaginal tissue thinning

Treatment Options

Many treatment options are available to address symptoms of GSM. Treatment plans will be tailored to alleviate your most bothersome GSM symptoms.

Treatment options may include:

  • Hormone therapy (creams, pills, patches, rings)
  • Use of lubricants or moisturizers
  • CO2 laser therapy
  • Radiofrequency and microneedling

What to expect on your visit

During your visit, you can expect your care team to listen to and address all of your concerns in a safe and trusted space. A consultation for GSM may include:

  • A history and physical examination
  • Labs
How do I know if I’m in menopause?

Menopause is defined clinically as 12 months after a woman’s final menstrual period. Or, menopause can be diagnosed through laboratory tests.

How long do menopausal symptoms typically last?

The majority of women experience perimenopausal symptoms 5 years before and after reaching menopause. However, some women can experience these symptoms as long as 10-15 years after menopause.

How did menopause affect my bladder health?

A common symptom of GSM is thinning of the vulvovaginal tissue, which can lead to tissue bulging into nearby organs, like the bladder, urethra, and rectum. Thinning of tissue can lead to weakness, and cause problems with the bladder.

Why am I getting so many vaginal infections?

Thinning of the vulvovaginal tissue within the internal and external genitalia can cause pH changes in the vagina, and also can make it easier for bacteria to enter the urethra, causing increased infections “down there”

The HerMD Difference

  • 10 minute appointments
  •  20 – 60 minute appointments
  • Fragmented
  • In-person only
  • Hybrid: in-person and virtual
  • Sterile environment
  • Patient-centric, beautiful and warm
  • Focus on obstetrics, annuals, and STI care
  • Gynecology, sexual health and menopause focused with ISSWSH and NAMS trained providers

HerMD Trailblazers and Changemakers

Meet Your Women’s Healthcare Leadership Team

We’re Revolutionizing Women’s Health Care

But don’t just take our word for it…

  • Sandy Gibson

    Wonderful experience! Dr. Montville is so kind and listens attentively.

  • Amanda Sensing

    Love this practice & Teri Greer. The staff is professional, friendly and always pleasantly helpful.

  • Sheryl Redlin Frazier

    Lovely setting and compassionate practitioner!

  • Kristin Mosher

    I have been seen by Brooke Faught and she is wonderful. She really knows her stuff. She is down to earth and very understanding. It is like talking to your sister. I highly recommend.

  • rachael Holt

    I was seen quickly and the staff is so friendly. Dr. Montville is the absolute best.

  • Beth Croley

    Really wonderful experience. I felt heard and supported.


Get in touch with our Patient Advocate Team

Your Body,
Your Health,



Live your best life - inside and out.

Better care is here

Live your best life - inside and out.