by drhcquaile@gmail.com | Apr 10, 2026 | Uncategorized
The “GSM” label is helpful until it potentially hides the real diagnosis Genitourinary Syndrome of Menopause (GSM) is one of the most common and most undertreated causes of vulvovaginal symptoms in midlife. But here’s the clinical trap: once we name it “GSM,” we can...
by drhcquaile@gmail.com | Feb 5, 2026 | Uncategorized
Midlife is not a diagnosis but it is a physiological turning point. Hormonal shifts during perimenopause and menopause influence nearly every system in the body: cardiovascular health, metabolism, bone density, brain function, sleep, mood, and sexual wellbeing. Yet...
