Kim Hyun-Kyung, Kang So-Yeon, Chung Youn-Jee, Kim Jang-Heub, Kim Mee-Ran
Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
J Menopausal Med. 2015 Aug;21(2):65-71. doi: 10.6118/jmm.2015.21.2.65. Epub 2015 Aug 28.
The genitourinary syndrome of menopause (GSM) is a new term that describes various menopausal symptoms and signs including not only genital symptoms (dryness, burning, and irritation), and sexual symptoms (lack of lubrication, discomfort or pain, and impaired function, but also urinary symptoms (urgency, dysuria, and recurrent urinary tract infections). The terms vulvovaginal atrophy and atrophic vaginitis, which were generally used until recently, had a limitation because they did not cover the full spectrum of symptoms and did not imply that the symptoms are related to a decreased estrogen level in menopause. Since the GSM may have a profound negative impact on the quality of life of postmenopausal women, women should be made aware of these problems and treated with an appropriate effective therapy. Thus, in this review we introduce new terminology and discuss the importance of comprehension of GSM and the necessity of active treatment of this syndrome in postmenopausal women.
更年期泌尿生殖综合征（GSM）是一个新术语，用于描述各种更年期症状和体征，不仅包括生殖器症状（干燥、灼烧和刺激感）、性症状（润滑不足、不适或疼痛以及功能受损），还包括泌尿系统症状（尿急、尿痛和复发性尿路感染）。直到最近还普遍使用的术语外阴阴道萎缩和萎缩性阴道炎存在局限性，因为它们没有涵盖所有症状，也没有表明这些症状与更年期雌激素水平降低有关。由于GSM可能对绝经后女性的生活质量产生深远的负面影响，应让女性了解这些问题，并采用适当有效的疗法进行治疗。因此，在本综述中，我们引入了新术语，并讨论了理解GSM的重要性以及积极治疗绝经后女性该综合征的必要性。
