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The primary symptoms of menopause are genitourinary and vasomotor. The genitourinary syndrome of menopause (GSM) includes symptoms such as burning, irritation, dryness, dyspareunia, dysuria, and recurrent urinary tract infection. Vasomotor symptoms (VMS; hot flashes, night sweats) often disrupt sleep.

GENITOURINARY SYNDROME OF MENOPAUSE (GSM)

NONHORMONAL THERAPY — Over-the-counter (OTC) nonhormonal vaginal moisturizers and lubricants are generally used first for treatment of genitourinary symptoms.

VAGINAL ESTROGEN — Low-dose...  Continue reading

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