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What are the changes that occur in the female genitourinary system among the elderly?

According to the North American Menopause Society, up to 60% of postmenopausal women experience symptoms of genitourinary syndrome of menopause (GSM), which directly impacts the genitourinary system. Understanding **what are the changes that occur in the female genitourinary system among the elderly** can help manage these often progressive symptoms and improve overall quality of life.