By vgreene, 17 December, 2014 Proactively ask pt about/evaluate on an ongoing basis for GU sx,2 regardless of other tx
By vgreene, 17 December, 2014 For mod-to-severe GSM or if inadequate response to vaginal lubricants and/or moisturizers:1
By vgreene, 17 December, 2014 Consider ospemifene for pts w/o contraindications3 who prefer non-estrogen PO tx
By vgreene, 17 December, 2014 If no breast/endometrial CA or other hormone-sensitive CA: Consider low-dose vaginal estrogen,3 vaginal DHEA, systemic estrogen tx,4 or ospemifene
By vgreene, 17 December, 2014 For menopausal2 women ≥45 yo2 w/ mild GSM sx (genital dryness, burning, or irritation; urinary sx/conditions of dysuria, urgency, or recurrent UTIs; sexual sx of pain/dryness):1
By vgreene, 17 December, 2014 Proactively ask pts about/evaluate on an ongoing basis for GSM sx, regardless of other tx