Aap ki sehat

Menopause se juri andaam nihani aur peshaab ki takleef (GSM)

Khushki, jalan, jinsi taalluq ke dauran takleef, baar baar peshaab aana. Doctor in sab ko aik naam dete hain, GSM, aur hidayat ise ilaaj ke laiq maanti hain.

Is safhe par
  1. Lafz aur hidayat
  2. Yeh kya hai
  3. Yeh kaisa mehsoos ho sakta hai
  4. Yeh kyun hota hai
  5. Ilaaj ke baare mein hidayat kya kehti hain
  6. Doctor ko kab dikhayen
  7. Doctor se poochne ke sawal
  8. Deen aur ghar wale
  9. Is par nazar rakhein
  10. Aam sawal
  11. Milte julte mauzuaat
  12. Hawale

Kuch alamaat ki baat khane ki mez par ho jati hai. Yeh alamaat bathroom se baahar kam hi nikalti hain. GSM woh naam hai jo inhein aik jagah jorta hai, aur naam mil jaye to doctor se baat karna aasaan ho jata hai.

Lafz aur hidayat

English
Genitourinary syndrome of menopause (GSM)
In naamon se bhi dhoonda jata hai
vaginal atrophy, atrophic vaginitis, vulvovaginal atrophy, urogenital atrophy
Urdu
genitourinary symptoms، یعنی اندام نہانی کی خشکی اور پیشاب میں تبدیلی
Roman Urdu
genitourinary symptoms, yani andaam nihani ki khushki aur peshaab mein tabdeeli
  • NICE ki hidayat NG23, jin par England mein doctor chalte hain, kehti hain ke menopause se juri genitourinary symptoms mein andaam nihani aur farj (zanana sharam gaah) ki khushki, jinsi taalluq ke dauran dard, wahan be-aaraami ya jalan, aur peshaab karte hue takleef ya dard shamil hain.
  • NICE NG23 kehta hai ke genitourinary symptoms wali auraton ko, un ko bhi jo pehle se HRT le rahi hain, usi jagah lagane wala estrogen (vaginal estrogen) pesh kiya jaye aur is ka baqaida jaiza liya jaye (1.5.5), aur kehta hai ke moisturiser aur lubricant is ke saath istemaal ho sakte hain, ya akele un auraton ke liye jo ise istemaal nahin kar saktin ya nahin karna chahtin (1.5.8 aur 1.5.9).
  • PMS ki sifarishaat kehti hain ke GSM aur jinsi alamaat aksar batayi nahin jatin, aur bohat si Pakistani auratein shayad in ka zikr na karein jab tak un se izzat ke saath aur akele mein na poocha jaye (Table 1; 2.2).

Yeh kya hai

Genitourinary syndrome of menopause, mukhtasir mein GSM, un tabdeeliyon ka naam hai jo estrogen kam hone ke saath farj (zanana sharam gaah), andaam nihani aur masane mein aati hain. Saada lafzon mein: andaam nihani ki khushki, jalan ya kharish, jinsi taalluq ke dauran takleef, aur peshaab aur masane ki takleef, jaise baar baar peshaab aana, achanak jaldi jane ki haajat, ya peshaab karte hue chubhan.

Ise vaginal atrophy ya atrophic vaginitis bhi kaha jata hai. Pakistan Menopause Society ki sifarishaat kehti hain ke GSM ne in purane naamon ki jagah le li hai.

PMS ki sifarishaat GSM ko menopause ke baad ke pehle chand saalon mein rakhti hain. Women's Health Concern likhta hai ke kuch auratein is se pehle hi khushki mehsoos karne lagti hain. Yeh aam hai: European Menopause and Andropause Society (EMAS) kehti hai ke yeh menopause ke baad taqreeban aadhi auraton ko hota hai.

Yeh kaisa mehsoos ho sakta hai

Women's Health Concern, jo British Menopause Society ka mareezon ke liye hissa hai, khushki aur jinsi taalluq ke dauran takleef se aage bhi bohat kuch ginwata hai: baithte, khare hote, warzish karte ya peshaab karte hue be-aaraami, chahe aap jinsi taalluq rakhti hon ya nahin. Smear test jo pehle se zyada mushkil lagne lage. Ratoobat jo zyada paani jaisi ho jaye, ya kharish aur jalan jo thrush (fungus ki infection) jaisi lage.

Factsheet khabardar karti hai ke ise thrush samajh kar dukaan se li hui dawaon se ilaaj karna ise bohat bigaar sakta hai. Yeh bhi kehti hai ke is se mutasir auraton mein se sirf aik chauthai ilaaj ke liye jati hain.

Urdu mein in mein se kisi baat ke liye mushkil se hi koi rozmarra lafz hai. Zyada tar auratein bas khushki keh paati hain, ya takleef, aur baqi baat ankahi reh jati hai.

Yeh kyun hota hai

PMS ki sifarishaat GSM ko un tabdeeliyon ka majmua kehti hain jo estrogen aur doosre jinsi hormone kam hone se juri hain. Women's Health Concern batata hai ke is se jism par kya guzarti hai: estrogen ke baghair farj aur andaam nihani ki jild patli aur kam lachakdar ho jati hai, kam nami banati hai, aur aasaani se zakhmi ho jati hai, is liye halki si ragar se bhi dard ho sakta hai.

Ilaaj ke baare mein hidayat kya kehti hain

NICE NG23 raaste tarteeb se batata hai:

  • Usi jagah lagane wala estrogen (vaginal estrogen) woh pehli cheez hai jo NICE pesh karne ko kehta hai, un auraton ko bhi jo pehle se HRT (hormone ki dawa) le rahi hain (1.5.5). Yeh cream, gel, goli, pessary ya ring ki shakal mein aata hai, aur NICE doctoron se kehta hai ke shakal aurat ke saath mil kar chunein (1.5.7). Usi jagah lagane wala estrogen dekhein.
  • NICE doctoron se kehta hai ke woh batayen ke is ke sangeen nuqsanaat bohat hi kam hote hain, ke estrogen wahin kaam karta hai aur khoon mein is ki bohat thori miqdaar jati hai, aur yeh ke band karne par alamaat aksar wapas aa jati hain, magar ise dobara shuru kiya ja sakta hai (1.5.6).
  • EMAS mazeed kehti hai ke usi jagah lagane wala estrogen baar baar hone wali peshaab ki infection se bachane mein madad kar sakta hai. NICE is istemaal ko baar baar hone wali peshaab ki infection par apni alag hidayat mein dekhta hai (1.5.13).
  • Moisturiser aur lubricant usi jagah lagane wale estrogen ke saath ya akele istemaal ho sakte hain, un auraton ke liye bhi jo hormone nahin le saktin ya nahin lena chahtin (1.5.8 aur 1.5.9). British Menopause Society ka GSM par bayan bhi donon ko raaston ke taur par batata hai, aur kehta hai ke moisturiser baqaidagi se lagaya jaye, chahe jinsi taalluq ho ya na ho.
  • Agar in se faida na ho ya yeh bardasht na hon, to NICE andaam nihani mein lagane wali prasterone ka naam leta hai, aur goli ki shakal mein ospemifene ka, un auraton ke liye jin ke liye usi jagah lagane wala ilaaj mumkin na ho, maslan kisi mazoori ki wajah se (1.5.10 aur 1.5.11).
  • Laser par NICE saaf baat karta hai: woh kehta hai ke menopause se juri genitourinary symptoms ke liye andaam nihani ka laser ilaaj na diya jaye, siwaye is ke ke woh kisi baqaida tehqeeqi trial (randomised controlled trial) ka hissa ho (1.5.20).

Jin auraton ko chhaati ka cancer ho chuka ho, un ke liye NICE ki sifarishaat alag hain. Woh baghair hormone ke ilaaj se shuru hoti hain, aur aromatase inhibitors lene wali auraton ke liye chhaati ke cancer ke specialist ko shamil karti hain.

Doctor ko kab dikhayen

Agar khushki, dard ya peshaab ki tabdeeli jinsi taalluq, neend, namaz ya aaraam se baithne mein aare aa rahi hai, to itni wajah kaafi hai. Women's Health Concern mashwara deta hai ke agar zabaan se kehna na-mumkin lage to alamaat kaghaz par likh kar doctor ko de dein.

PMS ki sifarishaat doctoron se kehti hain ke woh mazeed jaanch karein agar dard na jaye, peshaab ki infection baar baar ho ya ilaaj se theek na ho, peshaab mein khoon aaye, prolapse ho (yani bachedani ya masane ka apni jagah se neeche khisak aana), ya peshaab nikal jana rozmarra zindagi par asar daale (Table 4). Jinsi taalluq ke baad khoon aana, ya mahwari band hone ke baad kisi bhi tarah khoon aana, un ki khatre ki alamaat ki fehrist mein hai jin ki jaanch zaroori hai (2.3).

Doctor se poochne ke sawal

  1. Kya meri khushki, jalan ya peshaab ki takleef GSM ho sakti hai?
  2. Kya usi jagah lagane wala estrogen mere liye aik raasta hai, aur kaun si shakal mujhe theek rahe gi: cream, gel, goli, pessary ya ring?
  3. Agar main hormone na lena chahoon to hidayat mein aur kya likha hai?
  4. Kya yeh is ke bajaye koi infection ho sakta hai, aur kya ilaaj se pehle test ki zaroorat hai?

Deen aur ghar wale

Women's Health Concern likhta hai ke is se shaadi par bojh par sakta hai, khaas taur par jab aurat samjha na paye ke woh qurbat se kyun peeche hat rahi hai. Yeh jaanna ke yeh aam hai, is ka naam hai aur ilaaj hai, shohar se baat ko bhi aasaan kar sakta hai aur doctor se baat ko bhi.

Auratein yeh bhi poochti hain ke kya andaam nihani ka koi ilaaj Ramzan ke roze par, ya ghusl aur namaz par asar daalta hai. Yeh sawal kisi mustanad aalim se poochne ke hain. Sehri aur iftar ke aas paas ilaaj kab istemaal karein, yeh us se poochein jo ise likh kar de.

Is par nazar rakhein

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Aam sawal

Kya GSM aur andaam nihani ki khushki aik hi cheez hain?
Andaam nihani ki khushki is ka aik hissa hai. Pakistan Menopause Society ke mutabiq GSM un sab tabdeeliyon ka majmua hai jo estrogen kam hone se juri hain, farj aur andaam nihani se le kar peshaab ki naali aur masane tak, aur yeh naam vaginal atrophy jaise purane naamon ki jagah aaya hai (1.5.2). (Hawala: Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026))
Kya yeh khud hi theek ho jaye ga?
Aam taur par nahin. Pakistan Menopause Society ki sifarishaat kehti hain ke GSM aam taur par lambe arse tak rehta hai aur waqt ke saath barhta hai, aur ilaaj rukne par wapas aa sakta hai (Table 1). The Menopause Society bhi yehi kehti hai: hot flush to aam taur par waqt ke saath kam ho jate hain, magar GSM ilaaj ke baghair umooman barhta jata hai. (Hawala: Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026))
Kya main usi jagah lagane wala estrogen barson tak istemaal kar sakti hoon?
EMAS kehti hai ke jis aurat ko lage ke usi jagah lagane wala estrogen us ki madad kar raha hai, woh ise lambe arse tak istemaal karti reh sake. The Menopause Society kehti hai ke is par kisi bhi umar mein, aur jab tak zaroorat ho, ghaur kiya ja sakta hai. (Hawala: European Menopause and Andropause Society, Menopause Essentials 2026: Vulvovaginal atrophy (July 2026))
Kya usi jagah lagane wala estrogen HRT lene jaisa hi hai?
Poori tarah nahin. NICE NG23 batata hai ke usi jagah lagane wala estrogen wahin kaam karta hai, aur poore jism ke liye li jane wali HRT ke muqable mein is ki bohat thori miqdaar khoon mein jati hai (1.5.6). (Hawala: NICE NG23, Menopause: identification and management (last updated 15 April 2026))

Milte julte mauzuaat

Hawale

  1. NICE NG23, Menopause: identification and management (last updated 15 April 2026)Hissa: 1.5.5 to 1.5.20, Genitourinary symptoms; Terms used · 1 October 2026 ko khola gaya
  2. Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026)Hissa: 1.5.2; 2.2; 2.3; Tables 1, 2 and 4; 5.4 · 1 October 2026 ko khola gaya
  3. British Menopause Society, Consensus statement: Genitourinary syndrome of menopause (GSM) (reviewed November 2025)Hissa: Non-hormonal lubricants and moisturisers; Vaginal estrogen · 10 October 2026 ko khola gaya
  4. Women's Health Concern, Vaginal dryness factsheet (reviewed October 2023)Hissa: Whole factsheet · 1 October 2026 ko khola gaya
  5. European Menopause and Andropause Society, Menopause Essentials 2026: Vulvovaginal atrophy (July 2026)Hissa: Introduction; Non-hormonal management; Topical vaginal estrogens · 15 October 2026 ko khola gaya
  6. The Menopause Society (then The North American Menopause Society), The 2020 genitourinary syndrome of menopause position statement, Menopause 2020;27(9):976-992Hissa: Introduction · 15 October 2026 ko khola gaya
  7. The Menopause Society (then The North American Menopause Society), The 2022 hormone therapy position statement, Menopause 2022;29(7):767-794Hissa: Duration of use, initiation after age 60 years, and discontinuation: key points · 15 October 2026 ko khola gaya