Page 181 - Demo

Question 12A 55-year-old postmenopausal woman presents with vaginal dryness, dyspareunia, and recurrent urinary tract infections. What is the most likely diagnosis?%u2022Cervical cancer%u2022Endometrial cancer%u2022Vulvovaginal candidiasis%u2022Genitourinary syndrome of menopause%u2022Lichen sclerosusAnswer: Genitourinary syndrome of menopauseExplanation: The symptoms described - vaginal dryness, dyspareunia (painful intercourse), and recurrent urinary tract infections in a postmenopausal woman - are characteristic of genitourinary syndrome of menopause (GSM), previously known as atrophic vaginitis. GSM is caused by the decrease in estrogen levels after menopause, leading to thinning and drying of the vaginal and urethral tissues. This condition can cause discomfort and increase susceptibility to urinary tract infections.