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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
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  • 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

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  • Makayla Kerns

    Wonderful clinic, highly recommend! If I could change anything I would add to their patient portal a way for patients to be able to access their medical records online.

  • MaryAnn

    Cincinnati, OH

    Lexi is the best when it comes to your skincare needs

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    Everyone is great at HerMd KY. The office is so homey and welcoming.

  • Elizabeth Cotton

    I’m so thankful to find HerMD. A group of women physicians treating women. The care was great but also the experience was great. The nurse practitioner spent a lot of time with me and didn’t rush through the appointment. It was great!

  • Elizabeth Velazquez-Noll

    Rachel was fabulous. She is friendly and knowledgeable, gave me options without making me feel pressured and I am so happy with the outcome!

  • Anthony Ripepi

    Cincinnati, OH

    Great staff and always get me in last minute. The only place I never have to go back for touchups because they do a great job the first time.

  • Jessica Lewis

    Cincinnati, OH

    Friendly staff and amazing 1:1 time during your appointment, they listen and take care of your needs

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    Cincinnati, OH

    Michelle is great! Made me feel comfortable. She is very good, knowledgeable. Highly recommend!

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    Cincinnati, OH

    The best services ever!!!! Lexi is the Bomb Diggity

  • Nicole S.

    Cincinnati, OH

    I highly, highly recommend this practice – especially for people who are neurodivergent and/or who have anxieties around receiving medical care. All staff members were pleasant to interact with; I let the medical assistant know that I’m typically a hard stick, but bless her, she got it in one try. I wish I could give them more than five stars!


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