The Genito Urinary Syndrome of Menopause GSM is entirely preventable when treated early and consistently. The vulva and vag are filled with estradiol and estriol receptors. Low estrogen levels can occur during postpartum, perimenopause, long term birth control pill use, menopause… This condition starts subtly and many women miss it or assume this is an inevitable shift of aging… Progression of the GSM looks like decreased vaginal discharge, a shift in the microbiome, vulvar/vaginal tissue thins
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