How is GSM diagnosed—do I need an examination?
How is GSM diagnosed—do I need an examination? Genitourinary syndrome of menopause (GSM) is often diagnosed from your history: dryness, soreness, dyspareunia, urinary urgency/frequency, and flares…
Who should avoid laser/RF (pregnancy, implants, recent surgery)?
Who should avoid laser/RF (pregnancy, implants, recent surgery)? Energy-based vaginal treatments (laser or radiofrequency) are generally not first-line for genitourinary syndrome of menopause (GSM). Avoid or…
Can I use laser/RF if I’m on HRT or local oestrogen?
Can I use laser/RF if I’m on HRT or local oestrogen? Usually, yes. Vaginal laser or radiofrequency (RF) can be combined with systemic HRT and with…
Are results from laser/RF permanent—how long do they last?
Are results from laser/RF permanent—how long do they last? Results from vaginal laser or radiofrequency (RF) aren’t permanent. When they help genitourinary syndrome of menopause (GSM),…
What do NHS and NICE recommend first-line for GSM?
What do NHS and NICE recommend first-line for GSM? For genitourinary syndrome of menopause (GSM)—also called vaginal dryness/atrophy—NHS and NICE advise a stepwise start: regular vaginal…
Are there Cochrane reviews on device-based treatments for dryness?
Are there Cochrane reviews on device-based treatments for dryness? Yes—Cochrane and other systematic reviews have examined energy-based vaginal devices (laser/radiofrequency) relevant to genitourinary syndrome of menopause…
What does evidence say about PRP for GSM?
What does evidence say about PRP for GSM? What does evidence say about PRP for GSM? Platelet-rich plasma (PRP) is being explored as an adjunct for…
What does the treatment feel like and what’s the downtime?
What does the treatment feel like and what’s the downtime? Most people describe vaginal laser or radiofrequency (RF) sessions as warm, prickly or pressure-like rather than…
Is there strong evidence for polynucleotides in intimate dryness?
Is there strong evidence for polynucleotides in intimate dryness? Is there strong evidence for polynucleotides in intimate dryness? Not yet. Small, early studies suggest potential improvements…
Does systemic HRT fix vaginal dryness for everyone?
Does systemic HRT fix vaginal dryness for everyone? Does systemic HRT fix vaginal dryness for everyone? Not always. Many feel better on HRT, but genitourinary syndrome…
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