Essay on Experience Genitourinary Syndrome of Menopause: Symptoms & Assessment

The experience I have encountered while completing a Skin and Abdomen, Male and Female Genitourinary, and Female Breast assessment is the genitourinary syndrome of menopause (GSM) initially referred to as vaginitis. Genitourinary syndrome of menopause is a description of menopausal signs and symptoms, that is, urinary symptoms, and sexual and genital symptoms. Genital symptoms include irritation effect and dryness of genital parts. Sexual symptoms include lack of lubrication, while urinary symptoms are dysuria and urinary tract infections that keep on occurring frequently. Genitourinary syndrome of menopause coves the spectrum of the three menopausal diseases. It is associated with decreased levels of estrogen in menopause.

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The difficulties and questions that emerged about the genitourinary syndrome of menopause while reviewing the assessment were the possible causes of the disease and the curative of the disease. Many individuals have no idea of the causes of these menopausal signs and symptoms since it occurs at menopause (Gambacciani, Levancini & Cervigni 2015). These signs and symptoms come as a result of physical changes of the female abdomen reproductive organs which include vagina, vulva, and lower urinary tract. The common signs and symptoms are minimal lubrication during sexual activity, low rate of arousal, dryness of genital organs, itching effects of the vagina and dysuria. The prevalence of genitourinary syndrome of menopause is the dysfunction of lower urinary tract, and vulvovaginal symptoms and sexual dysfunction. GSM results mostly from low estrogen levels during menopause stage and postmenopausal period. However, the symptoms do not pose a threat to an individual's life but lower the quality of life. Local treatments of GSM include hormonal treatment involving systemic estrogen therapy, and non-hormonal treatment is induced to the patients (Papadopulos et al. 2017). Systemic treatment involves Bazedoxifene (BZA) and conjugated estrogens (CEs), hormone therapy and selective ER modulators.

The Christian view of GSM is positive since it is a common disease associated with age. Christians accept to undergo the age period with a positive attitude since the process is part of Gods design. They are learning so much of what to expect at that specific age in their lives, and therefore they are well informed and ready for it.

References

Gambacciani, M., Levancini, M. B., & Cervigni, M. (2015). Vaginal erbium laser: the second-generation thermotherapy for the genitourinary syndrome of menopause. Climacteric, 18(5), 757-763.

Gandhi, J., Chen, A., Dagur, G., Suh, Y., Smith, N., Cali, B., & Khan, S. A. (2016). Genitourinary syndrome of menopause: an overview of clinical manifestations, pathophysiology, etiology, evaluation, and management. American journal of obstetrics and gynecology, 215(6), 704-711.

Gnant, M., Pfeiler, G., Dubsky, P. C., Hubalek, M., Greil, R., Jakesz, R., ... & Bjelic-Radisic, V. (2015). Adjuvant denosumab in breast cancer (ABCSG-18): a multicentre, randomized, double-blind, placebo-controlled trial. The Lancet, 386(9992), 433-443.

Palacios, S., Castelo-Branco, C., Currie, H., Mijatovic, V., Nappi, R. E., Simon, J., & Rees, M. (2015). Update on the management of genitourinary syndrome of menopause: a practical guide. Maturitas, 82(3), 308-313.

Papadopulos, N. A., Zavlin, D., Lelle, J. D., Herschbach, P., Henrich, G., Kovacs, L., ... & Schaff, J. (2017). Combined vaginoplasty technique for male-to-female sex reassignment surgery: Operative approach and outcomes. Journal of Plastic, Reconstructive & Aesthetic Surgery, 70(10), 1483-1492.