Vaginal health and vaginal health-related products have become increasingly mainstream in advertisements and among peer conversation. Atrophic vaginitis, or genitourinary syndrome of menopause (GSM), is a common reason for visits to the primary care doctor, gynecologist, or urologist. GSM may lead to dyspareunia, itching, dryness, burning, and general irritation or discomfort of the vagina and vulvar vestibule in addition to mild urinary incontinence. Patients may report discomfort in day-to-day activities such as sitting, standing, or exercising (especially when straddling equipment or riding a bicycle). Mild urinary incontinence may cause embarrassment when exercising, laughing, sneezing, or coughing, and a patient’s relationships may be altered because of dyspareunia. All of these factors may negatively impact a woman’s feelings of self-worth.
Vol. 37. No. 4