Abdurrahman Fadlilah Amanu

Beyond Vaginal Atrophy: A Systematic Review of the Multidimensional Pathophysiology, Phenotypes, and Personalized Management of Genitourinary Syndrome of Menopause

Genitourinary syndrome of menopause (GSM) has traditionally been framed as a consequence of estrogen- deficiency-related vulvovaginal atrophy, yet contemporary evidence indicates a broader disorder spanning epithelial, stromal, microbial, vascular, neural, sexual, and lower urinary tract domains. This systematic litera...