The headline is broadly defensible, but the qualifications matter. Effect sizes vary by population, the strongest claims rest on shorter trials, and credible voices push back on how it's typically framed.
so we came up with the terminology genital urinary syndrome of menopause right so um vul vinery can lead to genital urinary symptoms after during and after menopause and the syndrome of menopause so it it took away the disease State it's not really a illness right and it's it's a syndrome which could be thought about in many other ways I mean happiness is a syndrome right and so we were really trying to neutralize it
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So we used to call this problem initially it was called scenile vagina. That was the initial uh yes there was a papers written on the scenile vagina. Then it got up to I don't even understand what that means. an old vagina I suppose but the then it got changed to vulvo vaginal atrophy or atrophic vaginitis that was the terminology that was used up until 24 before that it was seen vagina totally missed that check the history books very fascinating so vulvaginal atrophy was sort of the common name of this of okay as you get older the vagina atrophies it shrivels up it shrinks up
So we so the name got changed in 2014. Okay. 2014, a bunch of people got in a room and they said, "You know what? This bulb vaginal atrophy thing, that's kind of a bad name because it doesn't describe what's really happening to people." So, they changed the name to Genito urinary syndrome of menopause, GSM. Now, there was one urologist, my mentor, was in the room and they almost didn't put the word urinary in it. And he fought and he yelled and he screamed, "This is the power of one person to be able to change the whole world." And they said, "Okay, we'll listen to you. We'll put the word urinary in it."