Natural Treatment for Genitourinary Syndrome of Menopause

Genitourinary Syndrome of Menopause Treatment: GSM encompasses various symptoms such as vaginal dryness, itching, burning, and urinary issues.

Genitourinary syndrome of menopause (GSM) is a condition that encompasses various symptoms affecting the genital and urinary systems due to the decline in estrogen levels during menopause. These symptoms can significantly impact a woman’s quality of life. Here’s an overview of GSM, including its symptoms, causes, and various treatment options:

Table of Contents:

Symptoms of GSM

GSM can present with a variety of symptoms, which are often chronic and progressive:

Genital Symptoms

  • Vaginal Dryness: Decreased lubrication, leading to discomfort.
  • Vaginal Itching or Burning: Sensations of itchiness or burning in the vaginal area.
  • Dyspareunia: Pain during intercourse.
  • Vaginal Discharge: Changes in vaginal discharge, often becoming less frequent.

Urinary Symptoms

  • Urinary Frequency: The need to urinate more often.
  • Urgency: A sudden, strong urge to urinate.
  • Dysuria: Pain or discomfort during urination.
  • Recurrent Urinary Tract Infections (UTIs): Increased susceptibility to UTIs.


The primary cause of GSM is the decrease in estrogen levels during menopause. Estrogen is essential for maintaining the health and function of the vaginal and urinary tissues. Without adequate estrogen, these tissues become thinner, drier, and less elastic.


A healthcare provider can diagnose GSM based on:

  • Medical history and symptom assessment.
  • Physical examination, including a pelvic exam.
  • Urine tests if urinary symptoms are present.

Treatment Options

Various treatment options are available to manage GSM. These can be categorized into non-hormonal and hormonal treatments.

Non-Hormonal Treatments

Vaginal Moisturizers:

  • Regular Use: Products like Replens or Hyalo GYN can help maintain vaginal moisture and improve elasticity.
  • Frequency: Use several times a week as needed.

Vaginal Lubricants:

  • During Intercourse: Water-based or silicone-based lubricants like Astroglide or K-Y Jelly can reduce discomfort during sex.
  • Avoid Irritants: Choose products free from fragrances and other irritants.

Pelvic Floor Physical Therapy:

  • Exercises: Kegel exercises to strengthen pelvic floor muscles.
  • Therapy Sessions: Professional guidance for specific exercises and techniques.

Lifestyle Modifications:

  • Hydration: Drink plenty of water.
  • Avoid Irritants: Use mild, unscented soaps and avoid douches.

Hormonal Treatments

Low-Dose Vaginal Estrogen:

  • Vaginal Creams: Estrace or Premarin applied directly to the vaginal area.
  • Vaginal Tablets: Vagifem, inserted into the vagina.
  • Vaginal Rings: Estring, which releases estrogen over time.

Systemic Hormone Therapy:

  • Oral Tablets, Patches, or Gels: For women experiencing additional menopausal symptoms like hot flashes.

Other Treatments

DHEA Vaginal Inserts:

  • Prasterone (Intrarosa): A non-estrogen option that converts to estrogen and androgen in the body.

Laser Therapy:

  • Vaginal Laser Treatment: Devices like MonaLisa Touch that stimulate collagen production and improve vaginal health.

Ospemifene (Osphena):

  • Oral Medication: A selective estrogen receptor modulator (SERM) that helps alleviate painful intercourse.

Preventive Measures and Long-Term Management

  1. Regular Check-Ups: Regular visits to a healthcare provider for monitoring and management.
  2. Sexual Activity: Regular sexual activity or vaginal stimulation can help maintain vaginal health.
  3. Open Communication: Discuss symptoms and concerns with your healthcare provider to tailor the best treatment plan.

Genitourinary syndrome of menopause is a manageable condition with a range of effective treatments. By working closely with a healthcare provider, women can find relief from symptoms and improve their quality of life. It’s important to address GSM proactively and consider both lifestyle changes and medical treatments tailored to individual needs.

Natural Remedies for Genitourinary Syndrome of Menopause (GSM)

As women age, they often encounter a range of physiological changes, including menopause. One common but often overlooked condition associated with menopause is Genitourinary Syndrome of Menopause (GSM). GSM encompasses various symptoms such as vaginal dryness, itching, burning, and urinary issues.

While conventional treatments exist, many women seek natural alternatives to alleviate these symptoms. below we’ll explore effective natural remedies for GSM and how they can provide relief.

Understanding Genitourinary Syndrome of Menopause (GSM)

Before delving into natural treatments, it’s essential to grasp the nuances of GSM. During menopause, a decline in estrogen levels can lead to thinning, drying, and inflammation of the vaginal walls and urethra, resulting in uncomfortable symptoms. These may include:

  1. Vaginal dryness and itching
  2. Painful intercourse
  3. Burning sensation during urination
  4. Increased urinary frequency and urgency

Natural Remedies for GSM:

1. Hydration:

Adequate hydration is crucial for maintaining vaginal and urinary tract health. Encourage regular water intake to keep tissues hydrated and promote overall well-being.

2. Healthy Diet:

A balanced diet rich in fruits, vegetables, whole grains, and lean proteins supports hormonal balance and tissue health. Incorporate foods high in omega-3 fatty acids, such as salmon and flaxseeds, which have anti-inflammatory properties.

3. Phytoestrogens:

Certain plant-based compounds mimic estrogen in the body and can help alleviate GSM symptoms. Foods like soybeans, tofu, and flaxseeds contain phytoestrogens and may offer relief from vaginal dryness and discomfort.

4. Vaginal Moisturizers and Lubricants:

Natural lubricants derived from aloe vera, coconut oil, or vitamin E can provide relief from vaginal dryness and discomfort during intercourse. These products are free from harsh chemicals and can be applied as needed.

5. Herbal Supplements:

Some herbs, such as black cohosh and red clover, are believed to have estrogenic effects and may help alleviate GSM symptoms. However, it’s essential to consult with a healthcare provider before taking any herbal supplements, especially if you have underlying health conditions or are taking medications.

6. Pelvic Floor Exercises:

Strengthening the pelvic floor muscles through exercises like Kegels can improve urinary control and alleviate symptoms of urinary urgency and leakage.

7. Acupuncture:

Acupuncture, an ancient Chinese healing practice, has shown promising results in alleviating menopausal symptoms, including vaginal dryness and hot flashes. Seek out a licensed acupuncturist experienced in treating menopausal women.

8. Stress Management:

Chronic stress can exacerbate GSM symptoms. Incorporate stress-reducing activities such as yoga, meditation, deep breathing exercises, or spending time in nature to promote relaxation and hormonal balance.

FAQs: Natural Treatments for Genitourinary Syndrome of Menopause (GSM)

1. What are natural treatments for Genitourinary Syndrome of Menopause (GSM)?
Natural treatments for GSM include hydration and diet adjustments, herbal remedies, vaginal moisturizers and lubricants, pelvic floor exercises, acupuncture, acupressure, and lifestyle modifications.

2. How can diet and hydration help manage GSM symptoms naturally?
Staying hydrated and incorporating foods rich in omega-3 fatty acids, antioxidants, and phytoestrogens can support hormonal balance and alleviate GSM symptoms like vaginal dryness and urinary discomfort.

3. Are there any herbal remedies recommended for GSM natural treatment?
Yes, herbs like black cohosh, red clover, and dong quai are known for their estrogenic effects and may help relieve vaginal dryness and discomfort associated with GSM.

4. Can vaginal moisturizers and lubricants provide relief from GSM symptoms?
Yes, natural lubricants and moisturizers containing ingredients like aloe vera, vitamin E, and coconut oil can restore moisture and provide immediate relief from vaginal dryness and discomfort during intercourse.

5. How effective are pelvic floor exercises in managing GSM symptoms naturally?
Pelvic floor exercises, such as Kegels, can strengthen pelvic muscles, improve bladder control, and enhance sexual satisfaction by increasing vaginal muscle tone and blood flow to the pelvic region.

6. Is acupuncture or acupressure beneficial for GSM natural treatment?
Traditional Chinese medicine techniques like acupuncture and acupressure may promote better circulation, hormone balance, and overall well-being, offering relief from GSM symptoms.

7. What lifestyle modifications can help alleviate GSM symptoms naturally?
Avoiding irritants like perfumed products and tight clothing, maintaining a healthy weight, practicing stress-reduction techniques, and getting regular exercise can support hormonal balance and improve vaginal and urinary health during menopause.

8. Are there any risks associated with natural treatments for GSM?
While natural treatments are generally considered safe, it’s essential to consult with a healthcare professional before starting any new treatment regimen, especially if you have underlying health conditions or are taking medications.

9. How long does it take to see results from natural treatments for GSM?
The effectiveness of natural treatments for GSM can vary from person to person. Some individuals may experience relief from symptoms relatively quickly, while others may require more time to see noticeable improvements.

10. Can natural treatments be used alongside conventional therapies for GSM?
Yes, natural treatments can complement conventional therapies for GSM. It’s important to discuss any natural remedies or supplements with your healthcare provider to ensure they are safe and appropriate for your individual needs.


Genitourinary Syndrome of Menopause can significantly impact a woman’s quality of life, but natural remedies offer a holistic approach to managing its symptoms. By adopting lifestyle changes, incorporating specific foods and supplements, and exploring alternative therapies, women can find relief from GSM without relying solely on conventional treatments.

However, it’s essential to consult with a healthcare provider before initiating any new treatment regimen, especially if you have underlying health conditions or are taking medications. With the right approach, women can navigate menopause with greater comfort and confidence.

Also see: Menopause Journey Test and Now Menopause Support