When estrogen levels drop due to childbirth, menopause, or cancer treatment, women may experience genitourinary syndrome of menopause (GSM), also known as vaginal atrophy. GSM is characterized by thinning, dryness, and inflammation of the vaginal wall, causing symptoms such as vaginal pain, painful intercourse, infections, and urinary incontinence. Effective treatments include hormone therapy, lubricants, and pelvic floor physical therapy, as well as innovative remedies like Milli, a controlled-expansion vaginal dilator, vFit, a red light treatment device, Ovy Relief, a CBD suppository, and Aquafit Intimate Gel Stick, which helps maintain vaginal pH and moisture.