{"id":10873,"date":"2022-03-25T11:28:50","date_gmt":"2022-03-25T11:28:50","guid":{"rendered":"https:\/\/halova.ro\/sindromul-genito-urinar-de-menopauza\/"},"modified":"2026-08-07T09:36:21","modified_gmt":"2026-08-07T09:36:21","slug":"menopausal-genito-urinary-syndrome","status":"publish","type":"page","link":"https:\/\/halova.ro\/en\/menopausal-genito-urinary-syndrome\/","title":{"rendered":"Menopausal Genito Urinary Syndrome (GSM)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"10873\" class=\"elementor elementor-10873\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-03827b9 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"03827b9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-21143bf\" data-id=\"21143bf\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-ae42331 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"ae42331\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5aa4aba\" data-id=\"5aa4aba\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aeaa44b elementor-widget elementor-widget-image\" data-id=\"aeaa44b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1276\" height=\"1204\" src=\"https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-1@2x-2.png\" class=\"attachment-full size-full wp-image-9950\" alt=\"\" srcset=\"https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-1@2x-2.png 1276w, https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-1@2x-2-300x283.png 300w, https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-1@2x-2-1024x966.png 1024w, https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-1@2x-2-768x725.png 768w\" sizes=\"(max-width: 1276px) 100vw, 1276px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-07b353e\" data-id=\"07b353e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-db62594 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"db62594\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h6><strong>Menopausal Genito Urinary Syndrome (GSM)<\/strong><\/h6><p><strong><span style=\"color: #ff6600;\">Genitourinary syndrome of menopause (GSM)<\/span> refers to a wide range of symptoms and conditions associated with changes in the genital and urinary systems due to the decline in estrogen levels during menopause. As estrogen production decreases, structural and functional changes occur in the tissues of the vagina, vulva, bladder, and urethra, leading to a variety of genital and urinary symptoms. Formerly known as vulvovaginal atrophy, the term <em>genitourinary syndrome of menopause<\/em> more accurately reflects the broad range of changes affecting both the genital and lower urinary tracts during the menopausal transition.<\/strong><\/p><p><strong>The symptoms can include vaginal dryness, irritation, burning, painful intercourse (dyspareunia), recurrent urinary tract infections, and urinary incontinence and they have a significant impact on quality of life. Despite these symptoms, more than 50% of\u00a0affected patients are not using any treatments to alleviate their discomfort.<\/strong><\/p><p><strong>A distinctive feature of GSM is that the condition is progressive, and the symptoms often do not diminish over time, but they worsen over time without treatment.\u00a0Various\u00a0treatment options, ranging from nonhormonal lubricants and moisturizers to hormone replacement therapy, are available to alleviate symptoms and improve quality of life.<\/strong><\/p><p><strong>The primary cause of genitourinary syndrome of menopause is the decreased estrogen levels in postmenopausal individuals or in those of any age who experience\u00a0reduced estrogenic stimulation of the urogenital tissues.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-664db14 elementor-hidden-desktop elementor-hidden-tablet elementor-widget elementor-widget-text-editor\" data-id=\"664db14\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #ec937b;\"><strong>The menopausal transition is an important moment in the aging of the genital tract. <\/strong><\/span>Cyclic, higher levels of estradiol in premenopausal change to varying levels in perimenopause and even lower levels in postmenopause. In cross-sectional studies, low estradiol levels are associated with a higher prevalence of vaginal dryness symptoms. However, the longitudinal relationships between the stages of menopausal transition, reproductive hormone changes, the development of vaginal dryness, and the potential sexual consequences of this symptom have not been well studied.<\/p><p>The prevalence of vaginal dryness increases in the years following menopause and causes disturbing symptoms such as itching, burning and\/or pain during intercourse, which contributes to the decline of libido.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2f034fa elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2f034fa\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6fb9afc\" data-id=\"6fb9afc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-429b921 elementor-widget elementor-widget-text-editor\" data-id=\"429b921\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2><strong>Vaginal dryness as a symptom of <span style=\"color: #ff6600;\">menopause<\/span><\/strong><\/h2><p><strong>Vaginal dryness, a symptom of menopausal genito-urinary syndrome, increases with age and the progression of the menopausal stage. It can be caused by reduced secretory function of the vaginal epithelium, which is associated with decreased vaginal blood flow, mucosal thinning, changes in microbiomes, and inflammation. Women may report vaginal dryness as irritation, itching, or burning outside of sexual activity.<\/strong><br \/><br \/><strong>Menopause causes a dramatic 95% reduction in estrogen production, resulting in 75% of women experiencing vaginal dryness, 40% reporting pain during intercourse, and 30% to 40%\u00a0experiencing urinary urgency and frequency.<\/strong><br \/><br \/><strong>When estrogen level decline, the vaginal epithelium becomes atrophic with reduced secretions and a less acidic environment characterized by a pH greater than 5, and frequent urinary tract infections and discomfort during sexual activity occur.<\/strong><br \/><br \/><strong>GSM can be managed with various treatment modalities aimed at alleviating symptoms. These treatments are generally classified into nonhormonal and hormonal options.<\/strong><br \/><br \/><strong>Nonhormonal treatments such as vaginal and topical moisturizers and lubricants are considered the first-line therapy for GSM. Lubricants provide short-term relief, particularly for vaginal dryness during intercourse, while moisturizers offer longer-lasting effects and can be used daily or several times per week.<\/strong><br \/><br \/><strong>Systematic efficacy and safety reviews of hormonal treatment (vaginal oestrogen products) for moderate-to-severe GSM have reported it to be superior to placebo in achieving subjective improvement in vaginal dryness, dyspareunia, and urogenital symptoms.<\/strong><br \/><br \/><strong>Conventional treatment for postmenopausal syndrome, in terms of systemic and genital symptoms, is based on hormone replacement therapy (TSH). The limitations of this approach are represented by the need to stop treatment after a while and the contraindications for some women. Topical application of hyaluronic acid to control the symptoms of vulvovaginal atrophy in postmenopausal women has been shown to be significantly effective in terms of both objective and subjective improvement.<\/strong><br \/><br \/><strong>Hyaluronic acid is naturally present in many parts of the body, including the urinary and genital tissues, where it maintains adequate levels of hydration, thus promoting tissue elasticity and alleviating vaginal dryness.<\/strong><br \/><br \/><strong>Halova ovules are an excellent option for patients who have contraindications to estrogen therapy or choose not to use estrogen.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5668fc32 elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5668fc32\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-7856ca28\" data-id=\"7856ca28\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-344e78f elementor-section-height-min-height elementor-section-content-middle elementor-section-boxed elementor-section-height-default\" data-id=\"344e78f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-56629a2b\" data-id=\"56629a2b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-16c0e8cb elementor-widget elementor-widget-heading\" data-id=\"16c0e8cb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">50% of affected patients are not using any treatments to alleviate their discomfort.<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-73930edb\" data-id=\"73930edb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4a533a52 elementor-section-height-min-height elementor-section-content-middle elementor-section-boxed elementor-section-height-default\" data-id=\"4a533a52\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-73353378\" data-id=\"73353378\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b3906a3 elementor-widget elementor-widget-heading\" data-id=\"b3906a3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">GSM impacts 27% to 84% of postmenopausal women.<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-3132e75d\" data-id=\"3132e75d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4529e23d elementor-section-height-min-height elementor-section-content-middle elementor-section-boxed elementor-section-height-default\" data-id=\"4529e23d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-69c4945c\" data-id=\"69c4945c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c33f7b1 elementor-widget elementor-widget-heading\" data-id=\"c33f7b1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">70% of patients with signs and symptoms of GSM do not discuss their concerns with healthcare professionals.\u00a0<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4ac5bbcd elementor-section-full_width elementor-hidden-mobile elementor-section-height-default elementor-section-height-default\" data-id=\"4ac5bbcd\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-80fb11b\" data-id=\"80fb11b\" data-element_type=\"column\" data-e-type=\"column\" id=\"overlay-video-scroll\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-458455d6 elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"458455d6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-18eae9d6\" data-id=\"18eae9d6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-67b02b80 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"67b02b80\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: left;\">Currently, estrogen therapy, approved for the treatment of vaginal atrophy, is often associated with adverse effects and multiple contraindications in menopausal patients. Among them, metabolic imbalances, mood changes, bloating, as well as the risk of developing ovarian cancer are the most common. Moreover, long-term use of estrogen therapy can lead to breast cancer and should therefore be limited.<\/p><p>Thus, there was a need to develop new alternative preparations that would provide therapeutic benefits and successfully replace estrogen therapy. One such strategy is the use of topical lubricants.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0a9743e elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0a9743e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d2e9ddd\" data-id=\"d2e9ddd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3e58952 elementor-widget elementor-widget-spacer\" data-id=\"3e58952\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ec8d898 elementor-widget elementor-widget-spacer\" data-id=\"ec8d898\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-55d294f7 elementor-widget elementor-widget-image\" data-id=\"55d294f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"679\" src=\"https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-2@2x-2-1024x679.png\" class=\"attachment-large size-large wp-image-9957\" alt=\"\" srcset=\"https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-2@2x-2-1024x679.png 1024w, https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-2@2x-2-300x199.png 300w, https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-2@2x-2-768x509.png 768w, https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-2@2x-2-1536x1019.png 1536w, https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-2@2x-2-2048x1358.png 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3107711 elementor-hidden-desktop elementor-hidden-tablet elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3107711\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-9566ee5\" data-id=\"9566ee5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-09bce35 elementor-section-height-min-height elementor-section-content-middle elementor-section-boxed elementor-section-height-default\" data-id=\"09bce35\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-e96de2e\" data-id=\"e96de2e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bd737ab elementor-widget elementor-widget-heading\" data-id=\"bd737ab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Only 25% of women<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-af812bf elementor-widget elementor-widget-heading\" data-id=\"af812bf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">will go to a doctor to treat this problem.<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-1b07a81\" data-id=\"1b07a81\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0f1f2d7 elementor-section-height-min-height elementor-section-content-middle elementor-section-boxed elementor-section-height-default\" data-id=\"0f1f2d7\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-704234c\" data-id=\"704234c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2f25eca elementor-widget elementor-widget-heading\" data-id=\"2f25eca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">\u224817% among women<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f4910f5 elementor-widget elementor-widget-heading\" data-id=\"f4910f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">aged between 17 and 50 face this problem.<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-3c2799c\" data-id=\"3c2799c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-09139d8 elementor-section-height-min-height elementor-section-content-middle elementor-section-boxed elementor-section-height-default\" data-id=\"09139d8\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4ba8e0f\" data-id=\"4ba8e0f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a087c11 elementor-widget elementor-widget-heading\" data-id=\"a087c11\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Vaginal dryness<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0649d0 elementor-widget elementor-widget-heading\" data-id=\"c0649d0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Several studies show that vaginal dryness is considered a difficult topic to address<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2ffef77 elementor-hidden-desktop elementor-hidden-tablet elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2ffef77\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-37ea8ae\" data-id=\"37ea8ae\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0151c9e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"0151c9e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Currently, estrogen therapy, approved for the treatment of vaginal atrophy, is often associated with adverse effects and multiple contraindications in menopausal patients. Among them, metabolic imbalances, mood changes, bloating, as well as the risk of developing ovarian cancer are the most common. Moreover, long-term use of estrogen therapy can lead to breast cancer and should therefore be limited.<\/p><p>Thus, there was a need to develop new alternative preparations that would provide therapeutic benefits and successfully replace estrogen therapy. One such strategy is the use of topical lubricants. But not all topical lubricants are the same.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1cdbf24 elementor-widget elementor-widget-image\" data-id=\"1cdbf24\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"679\" src=\"https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-2@2x-2-1024x679.png\" class=\"attachment-large size-large wp-image-9957\" alt=\"\" srcset=\"https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-2@2x-2-1024x679.png 1024w, https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-2@2x-2-300x199.png 300w, https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-2@2x-2-768x509.png 768w, https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-2@2x-2-1536x1019.png 1536w, https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-2@2x-2-2048x1358.png 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e32b307 elementor-section-full_width elementor-hidden-mobile elementor-section-height-default elementor-section-height-default\" data-id=\"e32b307\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e399d79\" data-id=\"e399d79\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d0f058f elementor-widget elementor-widget-heading\" data-id=\"d0f058f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Halova ovule with hyaluronic acid is the excellent option for patients<br> who have contraindications to estrogen therapy or choose not to use estrogen.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8eb2273 elementor-widget elementor-widget-image\" data-id=\"8eb2273\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/halova.ro\/wp-content\/uploads\/elementor\/thumbs\/En-rr497y0gnye61ghbf5kzwn54f5yf57tdjqjqrwc2sg.png\" title=\"En\" alt=\"En\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4325d46 elementor-section-full_width elementor-hidden-desktop elementor-hidden-tablet elementor-section-height-default elementor-section-height-default\" data-id=\"4325d46\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-aeebd5e\" data-id=\"aeebd5e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6b9f570 elementor-widget elementor-widget-heading\" data-id=\"6b9f570\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">An excellent option for patients who are contraindicated<br> to estrogen therapy or choose not to use estrogen.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c72fbb elementor-widget elementor-widget-image\" data-id=\"1c72fbb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/halova.ro\/wp-content\/uploads\/elementor\/thumbs\/halova-ro-ppahzjegjkohaidfkdpmuj7s6hwuc5nvd49ontrw5c.png\" title=\"halova ro\" alt=\"halova ro\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-55eb463 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"55eb463\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-39056ea\" data-id=\"39056ea\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ba1d0c8 elementor-widget elementor-widget-html\" data-id=\"ba1d0c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n    h2 span{\n        color: #ec937b;\n    }\n<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Menopausal Genito Urinary Syndrome (GSM) Genitourinary syndrome of menopause (GSM) refers to a wide range of symptoms and conditions associated with changes in the genital and urinary systems due to the decline in estrogen levels during menopause. As estrogen production decreases, structural and functional changes occur in the tissues of the vagina, vulva, bladder, and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-10873","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Menopausal Genito Urinary Syndrome (GSM) | Halova Ovule<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/halova.ro\/sindromul-genito-urinar-menopauza-uscaciune-vaginala\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Menopausal Genito Urinary Syndrome (GSM) | Halova Ovule\" \/>\n<meta property=\"og:description\" content=\"Menopausal Genito Urinary Syndrome (GSM) Genitourinary syndrome of menopause (GSM) refers to a wide range of symptoms and conditions associated with changes in the genital and urinary systems due to the decline in estrogen levels during menopause. As estrogen production decreases, structural and functional changes occur in the tissues of the vagina, vulva, bladder, and [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/halova.ro\/sindromul-genito-urinar-menopauza-uscaciune-vaginala\/\" \/>\n<meta property=\"og:site_name\" content=\"Halova Ovule\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-07T09:36:21+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-1@2x-2.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1276\" \/>\n\t<meta property=\"og:image:height\" content=\"1204\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/halova.ro\/sindromul-genito-urinar-menopauza-uscaciune-vaginala\/\",\"url\":\"https:\/\/halova.ro\/sindromul-genito-urinar-menopauza-uscaciune-vaginala\/\",\"name\":\"Menopausal Genito Urinary Syndrome (GSM) | Halova Ovule\",\"isPartOf\":{\"@id\":\"https:\/\/halova.ro\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/halova.ro\/sindromul-genito-urinar-menopauza-uscaciune-vaginala\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/halova.ro\/sindromul-genito-urinar-menopauza-uscaciune-vaginala\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-1@2x-2.png\",\"datePublished\":\"2022-03-25T11:28:50+00:00\",\"dateModified\":\"2026-08-07T09:36:21+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/halova.ro\/sindromul-genito-urinar-menopauza-uscaciune-vaginala\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/halova.ro\/sindromul-genito-urinar-menopauza-uscaciune-vaginala\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/halova.ro\/sindromul-genito-urinar-menopauza-uscaciune-vaginala\/#primaryimage\",\"url\":\"https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-1@2x-2.png\",\"contentUrl\":\"https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/Asset-1@2x-2.png\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/halova.ro\/sindromul-genito-urinar-menopauza-uscaciune-vaginala\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Prima pagin\u0103\",\"item\":\"https:\/\/halova.ro\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Menopausal Genito Urinary Syndrome (GSM)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/halova.ro\/#website\",\"url\":\"https:\/\/halova.ro\/\",\"name\":\"Halova Ovule\",\"description\":\"\u00cempotriva Usc\u0103ciunii Vaginale\",\"publisher\":{\"@id\":\"https:\/\/halova.ro\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/halova.ro\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/halova.ro\/#organization\",\"name\":\"Perfect Care Distribution\",\"url\":\"https:\/\/halova.ro\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/halova.ro\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/logo_galova@4x.png\",\"contentUrl\":\"https:\/\/halova.ro\/wp-content\/uploads\/2022\/03\/logo_galova@4x.png\",\"width\":1302,\"height\":139,\"caption\":\"Perfect Care Distribution\"},\"image\":{\"@id\":\"https:\/\/halova.ro\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Menopausal Genito Urinary Syndrome (GSM) | Halova Ovule","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/halova.ro\/sindromul-genito-urinar-menopauza-uscaciune-vaginala\/","og_locale":"en_US","og_type":"article","og_title":"Menopausal Genito Urinary Syndrome (GSM) | Halova Ovule","og_description":"Menopausal Genito Urinary Syndrome (GSM) Genitourinary syndrome of menopause (GSM) refers to a wide range of symptoms and conditions associated with changes in the genital and urinary systems due to the decline in estrogen levels during menopause. 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