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Sexual Health

Did you know about GSM, another change that occurs in menopausal women?

2025.08.14
更年期の女性に訪れるもうひとつの変化「GSM」って知ってる?

As we approach menopause, many changes occur in our bodies.

Symptoms such as hot flashes, mood swings, and insomnia are well known, but in fact, more women suffer from GSM (Genitourinary Syndrome of Menopause) .

GSM refers to a series of disorders that occur in the urogenital tract, such as the vagina, vulva, urethra, and bladder, due to a decrease in the female hormone estrogen.

Symptoms include vaginal dryness, itching, burning, and pain during sexual intercourse (dyspareunia), as well as urinary system symptoms such as frequent urination, urinary incontinence, and a feeling of incomplete urination.

These symptoms were once treated individually under names such as "atrophic vaginitis" and "urethritis," but in recent years the comprehensive and respectful term "GSM" has become established in order to view them as a holistic change in the mind and body.

The tricky thing about this syndrome is that it rarely heals naturally .

Moreover, because it is a problem that involves a sensitive area, it is difficult to talk about with others, and many people endure it for years without telling anyone.

Pain during sexual intercourse can cause strain in relationships with partners, or make you need to go to the bathroom more often, leading to a reduction in going out, significantly affecting your quality of life in a variety of ways.

But there is hope.

Recent advances in healthcare and femtech are driving steady progress in approaches to GSM.

Creams or suppositories that deliver low doses of estrogen directly into the vagina can locally moisten the mucous membrane, plumping and restoring tissue.

For those who can't use hormones, there are also non-hormonal options such as moisturizing gels and vaginal lubricants.

Furthermore, the expansion of technology and knowledge has made it possible to provide a wide range of treatments, including laser and radiofrequency treatments that promote collagen regeneration within the vagina, and specialized probiotics that enhance the vagina's self-cleaning function.

To improve GSM, it is important to approach not only the body but also the mind .

Treat your body with care.

Let go of negative assumptions about sex and become sensitive to your own pleasure and discomfort .

Menopause is not the end, but the beginning of a rebirth.

This is the phase where you choose your own comfort and well-being using the sensibilities and experience that come with age.

Because these changes happen to everyone, I hope we can talk about them more openly and with more pride.

GSM may help you understand the signals from within your body and bring you new insights that will help you live a flexible and true life.

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