Updates in care for patients with genitourinary syndrome of menopause

Genitourinary syndrome of menopause, or GSM, is a highly prevalent condition in postmenopausal women, but many do not discuss their symptoms with health care providers. The American Urological Society, alongside the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction and the American Urogynecologic Society, published an updated guideline on GSM in May of 2025. This article will examine the pathophysiology, clinical assessment, and diagnosis of GSM and will review updated research on the recommended treatments to guide nurse practitioners on the latest evidence-based practice approach to GSM management.