Institut Universitaire de Gériatrie de Montréal Research Center, University of Montreal, Montreal, QC, Canada.
School of Rehabilitation, Faculty of Medicine, Institut Universitaire de Gériatrie de Montréal Research Center, Université de Montréal, Montreal, QC, Canada.
Climacteric. 2023 Aug;26(4):302-308. doi: 10.1080/13697137.2023.2194527. Epub 2023 Apr 5.
Genitourinary syndrome of menopause (GSM) is caused by chronic deprivation of estrogen and other sex steroids during the postmenopausal period, which leads to changes in the vulvovaginal tissues. These changes cause bothersome symptoms, such as vaginal dryness, pruritus, dyspareunia, increased daytime urinary frequency, urgency and urinary incontinence, which have considerable negative effects on women's quality of life and sexual function. Recent studies have investigated a novel treatment approach for GSM. Pelvic floor muscle (PFM) rehabilitation, a low-cost conservative management with no side-effects, has been studied alone or in combination with other treatment modalities to reduce the signs and symptoms of GSM. The aim of this article is to discuss why PFM rehabilitation could be useful for women with GSM, how it may help improve signs and symptoms of GSM and when this treatment should be recommended.
绝经后生殖泌尿系统综合征（GSM）是由于绝经后雌激素和其他性激素慢性缺乏引起的，会导致外阴阴道组织发生变化。这些变化导致一些令人不适的症状，如阴道干燥、瘙痒、性交痛、白天尿频、尿急和尿失禁，这些症状对女性的生活质量和性功能有很大的负面影响。最近的研究探讨了一种治疗 GSM 的新方法。盆底肌肉（PFM）康复是一种低成本的保守管理方法，没有副作用，已经被单独或与其他治疗方式联合用于减轻 GSM 的体征和症状。本文旨在讨论为什么 PFM 康复对患有 GSM 的女性有用，它如何帮助改善 GSM 的体征和症状，以及何时推荐这种治疗。
