What Is Genitourinary Syndrome of Menopause?

Genitourinary Syndrome of Menopause (GSM) is the group of genital, urinary and sexual symptoms that occur when estrogen levels decline typically during or after menopause and affect the vulva, vagina, urethra and bladder.  Previously referred to as “vulvovaginal atrophy” or “atrophic vaginitis,” the term GSM captures not just vaginal dryness but also urinary changes and sexual discomfort.

The thinning of vaginal walls, loss of elasticity, decreased lubrication and shift in vaginal pH (sometimes allowing recurrent urinary tract infections) are characteristic.  For example, a woman might ask “what are early signs of genitourinary syndrome of menopause?” when noticing dryness, burning or pain during intimacy.

Because symptoms can include urinary urgency, recurrent UTIs and incontinence in addition to vaginal discomfort, many search for “genitourinary syndrome of menopause urinary symptoms” when trying to understand their condition.

• Genital and vaginal symptoms: The lining of the vagina becomes thinner and less elastic, leading to dryness, itching, burning sensations and sometimes spotting or light bleeding. A frequent query is “genitourinary syndrome of menopause painful intercourse risk” due to the dryness and friction during sexual contact. 
• Urinary symptoms: Many women experience urinary urgency, frequent urination, dysuria (painful urination) or recurrent urinary tract infections under the heading of “genitourinary syndrome of menopause recurrent UTI risk.” 
• Sexual dysfunction: Reduced lubrication, decreased libido, discomfort or pain during intercourse, and reduced sexual arousal are common. People may search for “genitourinary syndrome of menopause loss of libido and dryness” when experiencing these issues.

• Declining estrogen levels: The core underlying cause. When ovarian production of estrogen drops, the vaginal and urethral tissues lose thickness, blood flow, lubrication and elasticity. This is described in “genitourinary syndrome of menopause cause estrogen deficiency”. 
• Hormonal changes and menopause transition: During perimenopause and beyond, fluctuations and eventual reduction in hormones lead to the anatomical and functional changes described above. Those investigating “genitourinary syndrome of menopause symptoms in perimenopause” may find this helpful.
• Lifestyle and physiological factors: Smoking reduces blood flow to vulvovaginal tissues; lack of sexual activity may reduce tissue elasticity and contribute to “genitourinary syndrome of menopause risk no sexual activity”. 
• Medical interventions or conditions: Surgical menopause, chemotherapy, radiation, or medications that suppress estrogen may accelerate onset. Thus one might ask “genitourinary syndrome of menopause after oophorectomy” when dealing with early symptoms.
• Changes in vaginal flora and pH: Without adequate estrogen, the vaginal environment becomes less acidic and less populated by protective lactobacilli, raising the risk of discomfort and infections. This leads to searches like “genitourinary syndrome of menopause change in vaginal flora”. 

It is important to understand that GSM is not a contagious condition. The term “transmission” in the context of GSM refers not to passing an infection to someone else, but to identifying how underlying risk factors or behaviors may promote its development. For example:

Since GSM arises from hormonal decline rather than infection, you cannot transmit “genitourinary syndrome of menopause sexual partner risk.”

However, behaviors such as using vaginal irritants, perfumed hygiene products, or synthetic underwear can exacerbate symptoms and may lead individuals to search for “genitourinary syndrome of menopause aggravated by scented soap.”

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Because urinary symptoms like recurrent UTIs are common, women sometimes ask “genitourinary syndrome of menopause vs UTI how to tell the difference” when trying to distinguish urinary tract infection from GSM.

So while GSM is not transmitted between partners, lifestyle and medical history factors may accelerate its onset or severity.

• Regular sexual activity or pelvic floor engagement: Frequent intercourse or stimulation helps maintain blood flow and tissue elasticity; this is central to “genitourinary syndrome of menopause prevention through sexual activity.” 
• Avoid vaginal irritants: Steer clear of scented soaps, douches, perfumed wipes, tight synthetic underwear; guidance on “genitourinary syndrome of menopause avoid vaginal irritants” is common.
• Use appropriate vaginal lubricants and moisturizers: Over-the-counter water-based moisturizers and lubricants help relieve dryness and burning. This is part of the prevention routine for “genitourinary syndrome of menopause natural relief dryness.” 
• Lifestyle factors: Stop smoking, manage weight, engage in regular physical activity and maintain good pelvic circulation factors included in “genitourinary syndrome of menopause lifestyle recommendations.”
• Hydration and nutrition: A diet rich in phyto-estrogens, omega-3s, and antioxidants can support tissue health and may reduce the risk of symptoms. People may look up “genitourinary syndrome of menopause diet to improve vaginal health.”
• Medical screening and timely management: Women who experience menopausal symptoms prematurely (e.g., surgical menopause) should monitor for GSM symptoms early by reading about “early onset genitourinary syndrome of menopause.”

Forever Multi-Maca is a natural supplement that helps women manage the hormonal imbalance and reduced vitality that often accompany Genitourinary Syndrome of Menopause (GSM). It supports the body’s natural hormone production, helping to ease dryness, boost libido, and restore energy levels that tend to drop during menopause. Regular use helps the body maintain better estrogen activity, which in turn supports vaginal lubrication and overall reproductive comfort. Many women also notice an improvement in mood and physical stamina, making it an effective natural aid for the physical and emotional changes linked to GSM.

Forever Aloe Berry Nectar complements this support by nourishing and hydrating the body from within. Its aloe-based formula soothes internal tissues, including the vaginal lining, and promotes healthy digestion and nutrient absorption both vital for hormonal balance. It also helps keep the urinary tract clean and free from infection, a common issue among postmenopausal women. Its natural fruit blend helps strengthen the immune system while keeping internal membranes moist and healthy, which improves overall comfort and protection in the genital area.

Forever Vitolize Women offers targeted nourishment to stabilize hormones, support urinary tract health, and ease symptoms such as vaginal dryness, night sweats, and mood swings. It helps the body cope with menopausal transitions by balancing the interaction between the endocrine and reproductive systems. This support extends to cardiovascular and bone health, ensuring that the body remains strong, stable, and well-nourished throughout menopause. Many women find that it improves emotional balance, energy, and natural lubrication over time.

To maintain resilience against infections and inflammation, Forever ImmuBlend works by strengthening the immune system and improving the body’s natural healing ability. It supports tissue repair in the urinary and reproductive tracts while enhancing overall defense against bacterial and fungal infections that can worsen GSM symptoms. With daily use, it helps maintain balance throughout the body, allowing tissues to stay healthy, hydrated, and resistant to irritation.