INTRODUCTION Genitourinary syndrome of menopause (GSM) is a condition characterized by symptoms of genital tract atrophy, urinary tract atrophy, and sexual dysfunction due to decreased levels of estrogen and other sex hormones during menopause.1-3 Symptoms of GSM comprise genital dryness, burning sensations, urinary urgency, painful urination, and recurrent urinary tract infections.4-6 Hormone replacement is the standard treatment for GSM, involving the application of low-doses of estrogen...