Schmidt Elizabeth
Elizabeth Schmidt is an associate professor and director of the PA program at Butler University in Indianapolis, Ind. The author has disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2023 Sep 1;36(9):17-23. doi: 10.1097/01.JAA.0000947048.98796.4d.
Females spend a third to half of their life in menopause, and the number of US females in menopause is growing. A high percentage of postmenopausal females experience bothersome, sometimes debilitating genitourinary symptoms, which can affect quality of life. The genitourinary syndrome of menopause (GSM) describes the condition previously referred to as vulvovaginal atrophy, atrophic vaginitis, or urogenital atrophy. Of concern, many patients with symptoms of GSM have never been asked about nor have they initiated conversations about these concerns with a healthcare provider. This article addresses the need to improve screening, identification, and patient-centered management in primary care of females with GSM.
女性一生中三分之一到一半的时间处于更年期，美国处于更年期的女性数量正在增加。很大比例的绝经后女性会经历令人烦恼、有时甚至使人虚弱的泌尿生殖系统症状，这些症状会影响生活质量。更年期泌尿生殖系统综合征（GSM）描述了以前被称为外阴阴道萎缩、萎缩性阴道炎或泌尿生殖系统萎缩的病症。令人担忧的是，许多有GSM症状的患者从未被询问过这些问题，也从未与医疗服务提供者就这些问题展开过对话。本文探讨了在对患有GSM的女性进行初级护理时，改善筛查、识别和以患者为中心的管理的必要性。
