Genitourinary Syndrome of Menopause (GSM) is a relatively new term defined in 2014 that used to be known as vulvovaginal atrophy, atrophic vaginitis, or urogenital atrophy. GSM is a chronic condition that affects menopausal people who are experiencing a decrease in estrogen and progesterone. Common symptoms include: vaginal dryness, burning, itching, and irritation, decrease in vagina elasticity; loss of libido and impaired sexual function, pain with penetrative sex; painful urination; urinary urgency and frequency; and an increased risk of vaginal infections and UTIs.