Genitourinary Syndrome Menopause (GSM)
Menopause is a transitional period in a woman’s life characterized by hormonal changes which can lead to a host of symptoms, such as changes in weight, fluctuations in mood, and more.
Genitourinary Syndrome of Menopause (GSM), previously referred to as vulvovaginal atrophy or atrophic vaginitis, is a chronic condition that affects the vagina, vulva, pelvic floor tissues and urinary tract. Women may experience vaginal dryness, vaginal burning or painful intercourse, and are at an increased risk for urinary tract infections.
What is GSM?
In the years leading up to and including a woman’s menopause, the ovaries reduce their production of estrogen. Estrogen is a sex hormone that plays a role in:
- Puberty
- Menstruation
- Glucose metabolism
- Insulin sensitivity
- Bone health
After menopause, or in cases of imbalanced hormones, the production of estrogen from the ovaries is extremely low and can cause the symptoms of GSM. The tissues of the body are affected and can include a reduction in skin thickness, elasticity, muscle function and even blood flow.
Those more at risk
Women are more at risk of GSM if they:
- Are going through or have gone through menopause
- Have had surgery to remove the ovaries
- Have smoked or have a history of alcohol abuse
- Are undergoing certain cancer treatments, such as anti-estrogen medications for patients undergoing breast cancer treatment
Treatment options
Vaginal estrogen therapy
A decline in estrogen levels after menopause leads to changes in the skin of the vagina, urethra and vulva. Estrogen plays an important role in keeping the vaginal and vulvar tissue moist and healthy. With the normal decline in estrogen after menopause, the tissues and skin in the vaginal area may thin and become dry. Younger women undergoing breast cancer treatment with anti-estrogen medications may also experience these changes.
Following a pelvic examination, treatment may be recommended. Some simple changes can help reduce vaginal and vulvar irritation. Use chemical-free detergents. If you wear pads due to urinary leakage, stay away from menstrual pads – use pads designed to hold urine or consider trying 100% cotton pads. Some women find using a vaginal moisturizer or lubricant helpful. Coconut oil is often the best vaginal lubricant and is widely available. Avoid petroleum-based lubricants.
MonaLisa Touch®: A novel laser for gynecologic health
Millions of women experience changes to their gynecologic health that affect their personal lives as a consequence. Many suffer silently and those who seek treatment may find their options limited. Now there’s a solution! MonaLisa Touch® is a simple, proven laser to help you feel like yourself again.
MonaLisa Touch uses fractional laser technology to ablate small micro-columns of tissue. This leaves an ecosystem of healthy unaffected tissue to support rapid healing.
- Thousands of women have chosen MonaLisa Touch since 2012
- Fast: <5 minute in-office procedure
- Non-hormonal, chemical-free
- Virtually no downtime
Frequently asked questions
Women with gynecologic health concerns.
The SmartXide Touch Laser (MonaLisa Touch) is indicated for incision, excision, ablation, vaporization and coagulation of body soft tissues in medical specialties including aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology, neurosurgery, orthopedics, general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery. Use with the scanning unit is indicated for ablative skin resurfacing.
Like all medical procedures, not all patients are suitable. Your medical provider will review the risks and benefits of MonaLisa Touch.
This is a well-tolerated in-office procedure that typically does not require anesthesia and only lasts about 5 minutes.
Please click here to learn more about side-effects.
Patients can return to normal activities but should refrain from sexual activity for 2-3 days. Your doctor will determine a post-procedure regimen that is right for you.
Patients should contact their MonaLisa Touch provider for additional information.
No procedural codes have been established; this is a cash pay procedure paid directly to your provider.
MonaLisa Touch uses fractional laser technology to ablate small micro-columns of tissue. This leaves an ecosystem of healthy unaffected tissue to support rapid healing.
Laser sessions are conveniently performed right here in our office during a routine outpatient appointment.
Everyone is unique and our skin ages pre- and post-procedure. You and your physician should discuss your needs and expectations.