2025 AUA／SUFU／AUG S指南： 绝经泌尿生殖综合征.pdfVIP

APPROVEDBYTHEAUAGenitourinarySyndromeofMenopause:

BOARDOFDIRECTORSAPRIL

2025AUA/SUFU/AUGSGuideline

Authors’disclosureofpotential

conflictsofinterestandEndorsedbyTheInternationalSocietyfortheStudyofWomen’sSexualHealth(ISSWSH)andThe

author/staffcontributionsappearMenopauseSociety(TMS)

attheendofthearticle.

©2025bytheAmerican

UrologicalAssociation

GuidelinePanel

MelissaR.Kaufman,MD,PhD;A.LenoreAckerman,MD,PhD;KatherineA.Amin,MD;MargeCoffey,MSW;

StephanieS.Faubion,MD,MBA;AnneHardart,MD;IrwinGoldstein,MD;GiuliaM.Ippolito,MD,MS;Gina

M.Northington,MD,PhD;CharlesR.Powell,MD;RachelS.Rubin,MD;O.LenaineWestney,MD;TraceyS.

Wilson,MD;UnaJ.Lee,MD

StaffandConsultants

SystematicReviewpreparedbytheMinnesotaEvidence-basedPracticeCenterMinneapolis,MN.Investigators:

ElishevaR.Danan,M.D.,M.P.H.;SusanDiem,M.D.,M.P.H.;CatherineSowerby,B.A.;KristenUllman,M.P.H.;

KristineEnsrud,M.D.,M.P.H.;AdrienneLandsteiner,Ph.D.,M.P.H.;NancyGreer,Ph.D.;NicholasZerzan,

M.P.H.;MaylenAnthony,M.P.H.;CalebKalinowski,M.S.;MaryForte,Ph.D.,D.C.;HamdiI.Abdi,M.P.H.;

JessicaK.Friedman,Ph.D.;RahelNardos,M.D.,M.S.;CynthiaFok,M.D.,M.P.H.;PhilippDahm,M.D.,

M.H.Sc.;MaryButler,Ph.D.,M.B.A.;TimothyJ.Wilt,M.D.,M.P.H.

SUMMARY

Purpose

Genitourinarysyndromeofmenopause(GSM)describesthespectrumofsymptomsandphysicalchangesresultingfrom

decliningestrogenandandrogenconcentrationsinthegenitourinarytractduringthemenopausaltransition.1Therehasnot

beenaconsensusreachedaboutthenumberortypeofsymptoms(vulvovaginal,urinary,orsexual)neededtodiagnose

GSM,norarequirementforidentifyingconcurrentphysicalsigns