Sexual Health · 5 min read
Vaginal dryness and GSM: the symptom no one wants to talk about
Published April 15, 2026 · Last updated May 10, 2026
Genitourinary syndrome of menopause is common, progressive, and highly treatable.
GSM affects more than half of postmenopausal women and worsens over time without treatment. Symptoms include vaginal dryness, painful intercourse, urinary urgency, and recurrent UTIs.
What works
- Low-dose vaginal estrogen — extremely safe and highly effective for most patients, including many breast cancer survivors after oncology coordination
- Vaginal hyaluronic acid suppositories
- Ospemifene (a SERM) for those who cannot use vaginal estrogen
- Regular sexual activity (with or without a partner) preserves tissue elasticity
GSM rarely improves on its own. Earlier treatment is easier and more effective than waiting.
Medically reviewed by Dr. Ana Lisa Carr, MD, MBA
Board-Certified Family Medicine Physician · Lead Provider / Medical Reviewer
NPI 1689841744 · Last reviewed: May 10, 2026
More on libido & sexual health
- Low libido in midlifeSymptom
- Vaginal dryness & GSMSymptom
- Libido after menopauseArticle
- Testosterone for womenMedication
- EstradiolMedication
Sources
- NAMS 2022 — www.menopause.org
- ACOG: GSM — www.acog.org
This content is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.