GSM or genitourinary syndrome of menopause is experienced by 30-85% of menopausal women – this includes vaginal dryness, irritation and pain that can interfere with sexual intimacy. As well as occasional urinary leakage due to weakened pelvic floor. Most menopausal women remain sexually active and wish to preserve sexual intimacy in their life. The overall negative impact of GSM on sexual activity and overall quality of life is rarely discussed. Many women feel they must acc