Reproductive & Sexual Health

Genitourinary Syndrome of Menopause (GSM)

Genitourinary Syndrome of Menopause (GSM) is a chronic, progressive condition caused by the decline of estrogen and other sex hormones during and after menopause. It affects the vaginal, vulvar, and urinary tissues, leading to a range of uncomfortable symptoms that significantly impact quality of life and intimacy.

woman in black and white floral bikini lying on bed

Reproductive & Sexual Health

Genitourinary Syndrome of Menopause (GSM)

Genitourinary Syndrome of Menopause (GSM) is a chronic, progressive condition caused by the decline of estrogen and other sex hormones during and after menopause. It affects the vaginal, vulvar, and urinary tissues, leading to a range of uncomfortable symptoms that significantly impact quality of life and intimacy.

woman in black and white floral bikini lying on bed

Reproductive & Sexual Health

Genitourinary Syndrome of Menopause (GSM)

Genitourinary Syndrome of Menopause (GSM) is a chronic, progressive condition caused by the decline of estrogen and other sex hormones during and after menopause. It affects the vaginal, vulvar, and urinary tissues, leading to a range of uncomfortable symptoms that significantly impact quality of life and intimacy.

woman in black and white floral bikini lying on bed

Licensed practitioners

Online or in-person

(605) 261-6872

Sioux Falls, SD

Licensed practitioners

Online or in-person

(605) 261-6872

Sioux Falls, SD

Licensed practitioners

Online or in-person

(605) 261-6872

Sioux Falls, SD

Common GSM Symptoms

  • Vaginal dryness and irritation

  • Vaginal itching and burning

  • Pain or discomfort with intercourse

  • Recurrent urinary tract infections

  • Urinary urgency or frequency

  • Decreased vaginal lubrication

Our Approach

Treatment is personalized, evidence-based, and integrative — addressing both local and systemic hormonal contributions to GSM. Options may include topical and systemic hormone therapies, peptide support, and other advanced therapies tailored to each patient's history and goals.

A member of our team will reach out with an answer to your question! Please look out for an email or phone call!

What are you experiencing?

Select a symptom to see how we can help.

Vaginal dryness, burning, or persistent irritation

Pain or discomfort during intercourse

Frequent UTIs or urinary urgency after menopause

Discomfort or burning with everyday activities like exercise or sitting

Increased anxiety, irritability, or emotional sensitivity

Are you experiencing

Vaginal dryness, burning, or persistent irritation

Reproductive & Sexual Health

Vaginal dryness, burning, and persistent irritation are hallmark symptoms of Genitourinary Syndrome of Menopause (GSM) - a chronic, progressive condition that affects the majority of postmenopausal women yet remains significantly undertreated. The discomfort can be significant, and many women feel embarrassed discussing it. At Renew Health and Wellness, Dr. Jennifer Redmond, CNP, DNP provides a compassionate and clinically thorough approach, beginning with a full evaluation of your hormonal status and symptom history. Rather than simply offering moisturizers or lubricants, she addresses the root cause: the decline in estrogen that causes vaginal tissue to thin, lose elasticity, and reduce natural lubrication.


Treatment options are tailored to your individual health profile. For many women, low-dose local vaginal estrogen - delivered via cream, ring, or suppository - restores moisture and tissue health with minimal systemic absorption. This form of treatment has an excellent safety profile and is appropriate even for many women who cannot use systemic hormone therapy. For eligible candidates, systemic bio-identical and body-identical hormone therapy addresses both GSM and the broader range of menopausal symptoms simultaneously. Additional options include Ospemifene and intravaginal DHEA, evaluated based on your specific needs.


Peptide therapies that support tissue healing and circulation in the genitourinary region may also be incorporated. Treatment plans are monitored and adjusted over time, as GSM is a progressive condition that benefits from ongoing, proactive management rather than occasional intervention. At Renew Health and Wellness, relief from vaginal dryness and irritation is achievable - and you deserve a provider willing to make that happen.

Vaginal dryness, burning, or persistent irritation

Pain or discomfort during intercourse

Frequent UTIs or urinary urgency after menopause

Discomfort or burning with everyday activities like exercise or sitting

Increased anxiety, irritability, or emotional sensitivity

Are you experiencing

Vaginal dryness, burning, or persistent irritation

Reproductive & Sexual Health

Vaginal dryness, burning, and persistent irritation are hallmark symptoms of Genitourinary Syndrome of Menopause (GSM) - a chronic, progressive condition that affects the majority of postmenopausal women yet remains significantly undertreated. The discomfort can be significant, and many women feel embarrassed discussing it. At Renew Health and Wellness, Dr. Jennifer Redmond, CNP, DNP provides a compassionate and clinically thorough approach, beginning with a full evaluation of your hormonal status and symptom history. Rather than simply offering moisturizers or lubricants, she addresses the root cause: the decline in estrogen that causes vaginal tissue to thin, lose elasticity, and reduce natural lubrication.


Treatment options are tailored to your individual health profile. For many women, low-dose local vaginal estrogen - delivered via cream, ring, or suppository - restores moisture and tissue health with minimal systemic absorption. This form of treatment has an excellent safety profile and is appropriate even for many women who cannot use systemic hormone therapy. For eligible candidates, systemic bio-identical and body-identical hormone therapy addresses both GSM and the broader range of menopausal symptoms simultaneously. Additional options include Ospemifene and intravaginal DHEA, evaluated based on your specific needs.


Peptide therapies that support tissue healing and circulation in the genitourinary region may also be incorporated. Treatment plans are monitored and adjusted over time, as GSM is a progressive condition that benefits from ongoing, proactive management rather than occasional intervention. At Renew Health and Wellness, relief from vaginal dryness and irritation is achievable - and you deserve a provider willing to make that happen.

Frequently Asked Questions

Quick answers to help you make the right decision.

Can we keep our current care team while working with you?

Absolutely. Many patients work with us alongside their existing providers. Our integrative, root-cause approach complements traditional reproductive medicine, and we're happy to coordinate with your other providers.

What's your success rate?

Our patients achieve greater than 70% pregnancy success rates, and our outcomes continue to improve as we refine our protocols. Success rates vary based on individual factors including age, underlying conditions, and how long you've been trying — all of which we discuss honestly during your consultation.

I live outside of South Dakota — can I still be seen?

Yes. Dr. Redmond is licensed for telemedicine in South Dakota, North Dakota, Nebraska, Iowa, Montana, Minnesota, and Wyoming, with licensure expanding to Florida and Arizona soon. You can also travel to our Sioux Falls clinic for in-person care. Fertility care often involves labs, which we coordinate with local labs near you.

Do you accept insurance?

We do not accept insurance, which allows us to spend 60–120 minutes per appointment getting to the root cause rather than working within the limits of an insurance-driven system. We accept HSA and FSA payments, and we provide claim forms for potential reimbursement. Initial consultation is $250, with lab testing typically ranging from $150–$800 depending on what's needed.

Can testosterone therapy affect my fertility?

This is an important question. Standard testosterone replacement can actually suppress sperm production, so fertility optimization in men requires a careful, specialized approach. Dr. Redmond's men's health training allows her to optimize hormones in ways that support — rather than compromise — your fertility goals. This is exactly why a thorough evaluation matters before starting any therapy.

Contact

(605) 261-6872

info@renewhealthsd.com

2520 S. Lorraine Pl Sioux Falls, SD 57106

Copyright 2026 Renew Health and Wellness

Contact

(605) 261-6872

info@renewhealthsd.com

2520 S. Lorraine Pl Sioux Falls, SD 57106

Copyright 2026 Renew Health and Wellness

Contact

(605) 261-6872

info@renewhealthsd.com

2520 S. Lorraine Pl Sioux Falls, SD 57106

Copyright 2026 Renew Health and Wellness