Prevalence of genitourinary syndrome of menopause in Japanese women based on symptoms and vulval findings.

IF 0.9 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

JOURNAL OF MEDICAL INVESTIGATION Pub Date : 2026-01-01 DOI:10.2152/jmi.73.229

Sachiko Katayama, Kanako Yoshida, Riyo Kinouchi, Naoko Doi, Kana Kasai, Mari Nii, Ayaka Shinohara, Hikari Sasada, Misaki Murayama, Hidenori Aoki, Hiroaki Inui, Tomohiro Kagawa, Hiroki Noguchi, Kou Tamura, Asuka Takeda, Atsuko Yoshida, Ayuka Mineda, Yuri Yamamoto, Takeshi Iwasa

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Abstract

Background: Genitourinary Syndrome of Menopause (GSM) is a chronic condition in postmenopausal women characterized by vulvovaginal and urinary symptoms due to estrogen deficiency.

Purpose: We aimed to investigate the prevalence of GSM in Japanese women based on symptoms and vulvar findings.

Methods: We enrolled 71 women aged 50-75 years who visited the gynecology outpatient clinics of Tokushima University Hospital and Tsurugi Municipal Handa Hospital in 2023. GSM symptoms were assessed using the Vulvovaginal Symptoms Questionnaire and Core Lower Urinary Tract Symptom Score. Gynecologists evaluated the vulvar findings and measured vaginal pH. GSM was diagnosed when symptoms and objective findings were present.

Results: Among the 62 postmenopausal women, 17 met the symptom and objective criteria for GSM. The prevalence was 35%, 36.4%, and 10% among those in their 50s, 60s, and 70s, respectively. GSM prevalence was significantly higher in postmenopausal women than in premenopausal women and in sexually active women than in inactive women.

Conclusion: Among postmenopausal Japanese women, GSM prevalence was lower than that reported internationally;however, it was higher in sexually active women and increased with time since menopause. Early diagnosis and management are essential to preserve the quality of life of women. J. Med. Invest. 73 : 229-233, February, 2026.

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基于症状和外阴发现的日本女性绝经期泌尿生殖系统综合征患病率

背景：绝经期泌尿生殖系统综合征（GSM）是绝经后妇女的一种慢性疾病，以雌激素缺乏引起的外阴、阴道和泌尿系统症状为特征。目的：我们的目的是根据症状和外阴的发现来调查日本女性GSM的患病率。方法：选取2023年在德岛大学医院和鹤义市半田医院妇科门诊就诊的女性71例，年龄50 ~ 75岁。使用外阴阴道症状问卷和核心下尿路症状评分对GSM症状进行评估。妇科医生评估外阴表现并测量阴道ph。当症状和客观表现出现时，诊断GSM。结果：62例绝经后妇女中，17例符合GSM的症状和客观标准。在50多岁、60多岁和70多岁人群中患病率分别为35%、36.4%和10%。绝经后妇女的GSM患病率明显高于绝经前妇女，性活跃妇女的患病率明显高于性不活跃妇女。结论：日本绝经后妇女的GSM患病率低于国际报道；然而，在性活跃的女性中，这一比例更高，并且在绝经后随着时间的推移而增加。早期诊断和治疗对于保持妇女的生活质量至关重要。中华医学杂志，23(3):229-233,2012。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JOURNAL OF MEDICAL INVESTIGATION MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

1.20

自引率

0.00%

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