Genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women’s Sexual Health and The North American Menopause Society
BACKGROUNDIn 2012, the Board of Directors of the International Society for the Study of Women’s Sexual Health (ISSWSH) and the Board of Trustees of The North American Menopause Society (NAMS) acknowledged the need to review current terminology associated with genitourinary tract symptoms related to...
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| Published in: | Menopause (New York, N.Y.) Vol. 21; no. 10; pp. 1063 - 1068 |
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| Main Authors: | , |
| Format: | Journal Article Conference Proceeding |
| Language: | English |
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by The North American Menopause Society
01-10-2014
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| Abstract | BACKGROUNDIn 2012, the Board of Directors of the International Society for the Study of Women’s Sexual Health (ISSWSH) and the Board of Trustees of The North American Menopause Society (NAMS) acknowledged the need to review current terminology associated with genitourinary tract symptoms related to menopause.
METHODSThe 2 societies cosponsored a terminology consensus conference, which was held in May 2013.
RESULTS AND CONCLUSIONSMembers of the consensus conference agreed that the term genitourinary syndrome of menopause (GSM) is a medically more accurate, all-encompassing, and publicly acceptable term than vulvovaginal atrophy. GSM is defined as a collection of symptoms and signs associated with a decrease in estrogen and other sex steroids involving changes to the labia majora/minora, clitoris, vestibule/introitus, vagina, urethra and bladder. The syndrome may include but is not limited to genital symptoms of dryness, burning, and irritation; sexual symptoms of lack of lubrication, discomfort or pain, and impaired function; and urinary symptoms of urgency, dysuria and recurrent urinary tract infections. Women may present with some or all of the signs and symptoms, which must be bothersome and should not be better accounted for by another diagnosis. The term was presented and discussed at the annual meeting of each society. The respective Boards of NAMS and ISSWSH formally endorsed the new terminology—genitourinary syndrome of menopause (GSM)—in 2014. |
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| AbstractList | BACKGROUNDIn 2012, the Board of Directors of the International Society for the Study of Women's Sexual Health (ISSWSH) and the Board of Trustees of The North American Menopause Society (NAMS) acknowledged the need to review current terminology associated with genitourinary tract symptoms related to menopause.METHODSThe 2 societies cosponsored a terminology consensus conference, which was held in May 2013.RESULTS AND CONCLUSIONSMembers of the consensus conference agreed that the term genitourinary syndrome of menopause (GSM) is a medically more accurate, all-encompassing, and publicly acceptable term than vulvovaginal atrophy. GSM is defined as a collection of symptoms and signs associated with a decrease in estrogen and other sex steroids involving changes to the labia majora/minora, clitoris, vestibule/introitus, vagina, urethra and bladder. The syndrome may include but is not limited to genital symptoms of dryness, burning, and irritation; sexual symptoms of lack of lubrication, discomfort or pain, and impaired function; and urinary symptoms of urgency, dysuria and recurrent urinary tract infections. Women may present with some or all of the signs and symptoms, which must be bothersome and should not be better accounted for by another diagnosis. The term was presented and discussed at the annual meeting of each society. The respective Boards of NAMS and ISSWSH formally endorsed the new terminology--genitourinary syndrome of menopause (GSM)--in 2014. In 2012, the Board of Directors of the International Society for the Study of Women's Sexual Health (ISSWSH) and the Board of Trustees of The North American Menopause Society (NAMS) acknowledged the need to review current terminology associated with genitourinary tract symptoms related to menopause. The 2 societies cosponsored a terminology consensus conference, which was held in May 2013. Members of the consensus conference agreed that the term genitourinary syndrome of menopause (GSM) is a medically more accurate, all-encompassing, and publicly acceptable term than vulvovaginal atrophy. GSM is defined as a collection of symptoms and signs associated with a decrease in estrogen and other sex steroids involving changes to the labia majora/minora, clitoris, vestibule/introitus, vagina, urethra and bladder. The syndrome may include but is not limited to genital symptoms of dryness, burning, and irritation; sexual symptoms of lack of lubrication, discomfort or pain, and impaired function; and urinary symptoms of urgency, dysuria and recurrent urinary tract infections. Women may present with some or all of the signs and symptoms, which must be bothersome and should not be better accounted for by another diagnosis. The term was presented and discussed at the annual meeting of each society. The respective Boards of NAMS and ISSWSH formally endorsed the new terminology--genitourinary syndrome of menopause (GSM)--in 2014. BACKGROUNDIn 2012, the Board of Directors of the International Society for the Study of Women’s Sexual Health (ISSWSH) and the Board of Trustees of The North American Menopause Society (NAMS) acknowledged the need to review current terminology associated with genitourinary tract symptoms related to menopause. METHODSThe 2 societies cosponsored a terminology consensus conference, which was held in May 2013. RESULTS AND CONCLUSIONSMembers of the consensus conference agreed that the term genitourinary syndrome of menopause (GSM) is a medically more accurate, all-encompassing, and publicly acceptable term than vulvovaginal atrophy. GSM is defined as a collection of symptoms and signs associated with a decrease in estrogen and other sex steroids involving changes to the labia majora/minora, clitoris, vestibule/introitus, vagina, urethra and bladder. The syndrome may include but is not limited to genital symptoms of dryness, burning, and irritation; sexual symptoms of lack of lubrication, discomfort or pain, and impaired function; and urinary symptoms of urgency, dysuria and recurrent urinary tract infections. Women may present with some or all of the signs and symptoms, which must be bothersome and should not be better accounted for by another diagnosis. The term was presented and discussed at the annual meeting of each society. The respective Boards of NAMS and ISSWSH formally endorsed the new terminology—genitourinary syndrome of menopause (GSM)—in 2014. |
| Author | Gass, Margery L.S Portman, David J |
| AuthorAffiliation | From the 1Columbus Center for Women’s Health Research, Columbus, OH; and 2The North American Menopause Society, Mayfield Heights, OH |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25160739$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1093/fampra/cmg612 10.1016/j.fertnstert.2007.07.1359 10.1067/mob.2002.125704 10.1038/ijir.2013.9 10.1001/jama.281.6.537 10.1097/gme.0b013e3181948dd0 10.12968/bjcn.2013.18.8.407 10.1056/NEJMoa067423 10.1016/0378-5122(90)90060-J 10.2147/IJWH.S44579 10.1177/1754045313511398 10.1097/gme.0b013e31821f92df 10.3109/13697137.2013.871696 10.1258/136218001100321263 10.1038/sj.ijir.3900396 10.1007/s11606-008-0820-9 10.1111/j.1743-6109.2007.00685.x 10.1371/journal.pone.0026602 10.1097/GME.0b013e3182a4690b 10.1097/GME.0b013e318295236f 10.3109/13697137.2011.647840 10.1016/j.maturitas.2008.02.002 10.1097/gme.0b013e318182f84b 10.1038/clpt.2010.161 10.3109/13697137.2012.756467 10.3109/13697137.2010.522875 10.1111/jsm.12190 10.3109/00016348409155509 10.1185/03007995.2013.850068 10.4065/mcp.2009.0413 10.1016/j.maturitas.2013.10.018 10.1353/bhm.0.0290 10.1111/j.1743-6109.2009.01335.x |
| ContentType | Journal Article Conference Proceeding |
| Contributor | Iglesia, Cheryl Pinkerton, JoAnn Bachmann, Gloria Stuenkel, Cynthia Goldstein, Andrew Freedman, Murray Kingsberg, Sheryl Shifren, Jan Kagan, Risa Spadt, Susan Kellogg Portman, David Goldstein, Irwin Gass, Margery Krychman, Michael Burrows, Lara Heller, Debra Nachtigall, Lila Archer, David Nappi, Rossella Simon, James |
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| Copyright | 2014 by The North American Menopause Society. |
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volume: 77 start-page: 32 year: 2014 ident: R39-6-20210211 article-title: Estrogenic action on innate defense mechanisms in the urinary tract. publication-title: Maturitas doi: 10.1016/j.maturitas.2013.10.018 contributor: fullname: Luthje – volume: 83 start-page: 710 year: 2009 ident: R7-6-20210211 article-title: Gender, age, and diagnosis: the rise and fall of involutional melancholia in American psychiatry, 1900-1980. publication-title: Bull Hist Med doi: 10.1353/bhm.0.0290 contributor: fullname: Hirshbein – volume: 6 start-page: 2133 year: 2009 ident: R21-6-20210211 article-title: Prevalence and impact of vaginal symptoms among postmenopausal women. publication-title: J Sex Med doi: 10.1111/j.1743-6109.2009.01335.x contributor: fullname: Santoro |
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| SubjectTerms | Adult Atrophy Female Female Urogenital Diseases Humans Menopause Middle Aged North America Postmenopause Reproductive Health Sexual Behavior Societies, Medical Syndrome Terminology as Topic Vagina - pathology Vulva - pathology Women's Health |
| Title | Genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women’s Sexual Health and The North American Menopause Society |
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