The World Health Organization classifies female sexual dysfunction related to menopause under which ICD-11 category that specifically captures genitourinary syndrome of menopause (GSM)?

• A Genito-pelvic pain/penetration disorder
• B Atrophic vaginitis coded as primary infective disorder
• C Vulvodynia — coded exclusively under chronic pain disorders
• D Genitourinary syndrome of menopause — classified under menopausal and perimenopausal disorders ✓

Explanation

Genitourinary syndrome of menopause (GSM) — encompassing vulvovaginal atrophy, dryness, dyspareunia, urinary urgency and recurrent UTI — is now recognised as a distinct clinical entity under menopausal and perimenopausal disorders in ICD-11. The term replaced 'atrophic vaginitis' to reflect the broader systemic nature of hypoestrogenic changes. Local low-dose vaginal oestrogen is first-line treatment and has negligible systemic absorption, making it safe even in women with contraindications to systemic HRT.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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