It was a pleasure to speak with the Gerontological Advanced Practice Nurses (GAPNA) Great Lakes Chapter last night on Genitourinary Syndrome of Menopause (GSM). GSM is a condition that 80% of menopausal women will suffer from and it is treatable. GSM is caused by cellular changes that happen in the vagina, vulva, clitoris and urethra and causes symptoms such as: ~pain with penetration ~decreased arousal and orgasm ~urinary symptoms such as urinary tract infections ~itching ~burning Treatment opt