- Gleneagles Medical Centre 6 Napier Road, #09-19, Singapore 258499
We strive to help you manage urogynaecologic symptoms so you can get back to living your best life. Book consultation with Dr Arthur Tseng now!
Genito-Urinary Syndrome of Menopause (GSM) is the term refers to vaginal and urinary symptoms that occur when there is a lack of estrogen. This usually happens after menopause or after the surgical removal of the ovaries.
The treatment for GSM symptoms depends on the individual woman’s symptoms, lifestyle and risk factors since they can vary greatly.
The organs in the pelvic region including the pelvic floor muscles, urethra, bladder, and vagina have oestrogen receptors. When there is a lack of oestrogen, these organs can become less elastic, weaker and undergo atrophic changes.
Additionally, the amount of glycogen decreases which can result in a decrease in Lactobacilli bacteria and an increase in pH levels. This can create an environment where organisms that may cause vaginal infections can thrive.
GSM can be difficult to diagnose since its symptoms are often similar to other conditions like interstitial cystitis or overactive bladder syndrome. Your doctor will conduct a physical exam and review your medical history in order to accurately diagnose the condition. They may also recommend imaging tests such as an ultrasound or CT scan, or lab tests for UTIs or other infections.
The use of topical oestrogen treatment can significantly improve vaginal symptoms and may also alleviate urinary urgency, frequency, and urge incontinence. It can reverse age-related changes in the vagina, bladder, and urethra, as well as microbiological changes in the vagina.
To sum it up, GSM is a very common condition in post-menopausal women. With the proper diagnosis and treatment, it can be managed in a way that allows you to stay comfortable and have a normal sex life. It’s important to speak with your doctor if you are experiencing any of the symptoms described above so they can help you.
Dr Tseng's expertise covers urinary incontinence and pelvic organ prolapse, apart from that, his particular interest lies in the holistic management of Overactive Bladder Syndrome and other functional bladder conditions. With many years of experience in this field, he is committed to providing patients
