After menopause, with the reduction of the hormone estrogen in the ovaries, vagina atrophy occurs. Most changes appear in the mucus layer of vagina which overshadows many physiological activities

The genitourinary syndrome of menopause (GSM) is a new term that describes various menopausal symptoms and signs associated with physical changes of the vulva, vagina, and lower urinary tract and lower level of the hormone estrogen. The GSM includes symptoms: vaginal dryness, itching sensation, lack of lubrication, painful intercourse, also urinary symptoms stress urinary incontinence, urge urinary incontinence, and urinary tract infections. These symptoms will greatly discomfort sex life of women over 50.