Menopausal genitourinary syndrome / vulvovaginal atrophy
- Vaginal moisturizers/lubricants for mild symptoms
- Low-dose vaginal estrogen is highly effective
- Vaginal DHEA or oral ospemifene are alternatives
- Local therapy has much lower systemic estrogen exposure
- Recurrent UTI may improve with vaginal estrogen
- Breast-cancer context needs individualized discussion
Use at a glance
- Vaginal moisturizers/lubricants for mild symptoms
Practical pearls
- Low-dose vaginal estrogen is highly effective
- Vaginal DHEA or oral ospemifene are alternatives
Treatment options
- Local therapy has much lower systemic estrogen exposure
- Breast-cancer context needs individualized discussion
Other practical pearls
- Recurrent UTI may improve with vaginal estrogen
Self-check
- How should GSM treatment be approached with breast-cancer history?
Individualized discussion.
Drugs used for this (3)
All clinical uses · Open the interactive console ↗
