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The Genitourinary Syndrome of Menopause (GSM) is caused by the decrease in hormones that happens around the time of the menopause transition. It can cause painful intercourse, sensory issues affecting sexual pleasure and orgasm, vaginal and vulval itching and burning, urinary incontinence, frequency and pain. Vaginal moisturisers can be used daily to help with dryness and/or vaginal lubricants can be used as needed. Both can be purchased over the counter. The underlying cause though can be safel
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