Genitourinary syndrome of menopause (GSM) is a complex of atrophic symptoms following reduced level of estrogens in vulvovaginal and urethral zones. Approximately 50% of menopausal women have signs and symptoms of GSM. The most common symptoms are vaginal dryness (100%), dyspareunia (78%), burning (57%), itching (57%) and dysuria (32%). All these symptoms can affect sexual function and quality of life. We analyzed literature data on GSM therapy with the following laser technologies: CO2 laser, erbium laser (Er:YAG) and neodymium laser (Nd:YAG). Clinical cases and management of patients with GSM are considered in detail. We assessed the effectiveness and safety of laser techniques.

Keywords. genitourinary syndrome of menopause (GSM), CO2 laser, erbium laser (Er:YAG), neodymium laser (ND:YAG)