Genitourinary syndrome of menopause (GSM) is a prevalent condition that can affect up to 84% of postmenopausal women, but its impact on women going through perimenopause is also significant. While often not discussed openly, GSM manifests with symptoms such as vaginal dryness, itching, burning, irritation, pain during sexual activities, frequent urination, and a heightened risk of urinary tract infections. The hormonal changes during perimenopause and menopause, particularly the decrease in estrogen levels, are key contributors to GSM.