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Menopause Problems: Genitourinary Syndrome of Menopause (GSM)

Genitourinary syndrome of menopause, also known as GSM, is one of the many menopause problems that women can experience as they go through the big change.

GSM affects more than 50% of women, but despite its prevalence, it’s still pretty unheard of with many healthcare professionals failing to accurately diagnose it.

The signs and symptoms of GSM include; dryness, burning and irritation in vagina or vulva. Sexual symptoms such as lack of lubrication, pain during sex, or loss of libido. And urinary symptoms such as urgency incontinence and recurrent urine infections.

Unfortunately, due to the nature of the symptoms, many women are too embarrassed to ask for help, leaving them struggling and feeling alone.

But menopause problems shouldn’t be a taboo topic. Here at Elite Aesthetics, we’re here to help you get the information, advice and treatment you need to start enjoying your body once again.

Treatments For Genitourinary Syndrome of Menopause

While GSM can be a painful, embarrassing and uncomfortable condition, the good news is that there are some exciting, revolutionary treatments available to help combat your menopause problems and alleviate your GSM symptoms.

older female looking into the camera


Desirial – For Lubrication & The Relief Of Vaginal Irritation

What is Desirial?

Desirial is a non-surgical treatment that uses a naturally occurring substance, hyaluronic acid, to stimulate regeneration of the tissues in the vagina and promote natural lubrication.

How does Desirial help with genitourinary syndrome of menopause?

Desirial helps to restore hydration and improve the elasticity and tone of the vaginal tissues. This can help relieve many of the menopause problems caused by GSM, including lack of lubrication, vaginal discomfort, itching, irritation and loss of sensation.

What to expect during treatment?

Desirial is a minimally invasive treatment in which hyaluronic acid is injected into the vulvo-vaginal area. Hyaluronic acid is a naturally-occurring substance in the human body, found particularly in the skin and mucous membranes. It helps to hydrate the tissues and stimulate regeneration. During the treatment, a series of small injections are administered to the vagina. Although it might sound painful, a local anaesthetic is used to help keep you comfortable and most people find that the treatment is pain-free.

Chat to us to find out more about Desirial and discover if it could be the answer to your menopause problems.

Bioidentical Hormones

Skingenuity VR – Relieve Itching & Restore Lubrication

What is Skingenuity VR?

Skingenuity VR is a topical gel treatment that’s been proven to improve several GSM symptoms including vaginal looseness and dryness. The gel contains targeted growth factors that are nano-encapsulated to help ensure they penetrate deep into the vaginal mucosal lining.

How does Skingenuity VR help with genitourinary syndrome of menopause?

Lack of lubrication is thought to play a significant part in many of the core issues GSM sufferers experience, such as itching, discomfort and pain during sex. Skingenuity VR helps to relieve some of the menopause problems associated with GSM by improving vaginal laxity and combating dryness.

What to expect during treatment?

This treatment is non-invasive and pain-free. You’ll be prescribed a special gel that you self apply to the vagina 2-3 times per week. Once you see the results you want to achieve, you can reduce the frequency to 2-3 times per month as a maintenance level.

To find out more about Skingenuity VR get in touch…


Vaginal Tightening BBC Dr Shirin Lakhani
Dr Shirin on the BBC talking about Vaginal Tightening

BHRT – Rebalance Your Hormones & Take Control Of Your Menopause Problems

What is BHRT?

BHRT is a hormone treatment that can be highly effective in reducing the symptoms of GSM. Bioidentical hormones are structurally the same as your body’s natural hormones, which means there are generally none of the side effects that can be attributed to standard HRT.

How does The O Shot help with genitourinary syndrome of menopause?

By balancing your body’s own hormones, using a personally tailored prescription of bioidentical hormones, we can combat the menopause problems from GSM and help you regain control over your body.

Because BHRT targets the symptoms of GSM at the root cause – your hormones – it can be highly effective at resolving many of the issues attributed to the syndrome. Bio-Id hormone treatments contain a combination of bioidentical hormones, vitamins and nutrients personally tailored around your individual symptoms. These might include oestrogen, testosterone, progesterone, DHEA, thyroid hormones and Vitamin D3.

What to expect during treatment?

BHRT at Elite Aesthetics starts with a series of in-depth consultations with Dr. Shirin Lakhani, our founder and an industry leader in women’s hormonal health. You’ll also have a blood test to establish your current hormone and nutrient levels.

BHRT medication is usually a lozenge or cream, that you administer or take every day. Balancing hormones is a delicate act, so you will also have regular follow-ups and ongoing monitoring to help ensure you get the best results.

To find out more about BHRT check out our previous blog post here…


O Shot

The O Shot

What is The O Shot?

The O Shot is a revolutionary treatment for GSM. Based on traditional PRP treatments, the O Shot uses your body’s own platelets from your blood to stimulate healing and regenerate the tissues in your vagina.

How does The O Shot help with genitourinary syndrome of menopause?

The symptoms of GSM can range from vaginal dryness, itching and pain to loss of sensation, lack of libido and urinary incontinence. The O Shot can help relieve these symptoms, rejuvenating your vagina and improving your sex life.

Similar to other PRP treatments, such as the Vampire facelift or Vampire breastlift, The O Shot works by isolating some of your body’s own natural healing properties – the platelet-rich plasma from your blood – and injecting it into the vagina to stimulate regeneration. The results are impressive – many women experience better sensation in the vagina, increased lubrication, improved libido and even more orgasms.

What to expect during treatment?

While it might sound painful, The O Shot is actually a pretty comfortable treatment. First, we take some of your blood using a venus draw – similar to a blood test at the doctors. Then, a local anaesthetic is used to numb the area that will be injected, while a centrifuge separates the platelets from the blood. These platelets are then injected into the tissues in the vagina to stimulate collagen production and rejuvenation.

To find out more about the O Shot click here…

Ultra Femme 360 Testimonial


Ultra Femme 360

What is Ultra Femme 360?

Ultra Femme 360 is a non-surgical treatment that uses radiofrequency to improve the tissues in the vulva and vagina. It’s safe, effective and pain-free, making it a popular choice for postmenopausal women looking for GSM treatment.

How does it help with genitourinary syndrome of menopause?

The symptoms of GSM, such as vaginal laxity, loss of sensation and discomfort, can have a hugely negative impact on your sex life. If sex is uncomfortable or lacking pleasure you can easily lose interest. Ultra Femme 360 helps to combat the symptoms of GSM by rejuvenating the vaginal tissues, tightening the vagina and increasing sexual pleasure. It can also help with the urinary symptoms of GSM, such as stress incontinence.

What to expect during treatment?

During the treatment, we insert a small, disposable tip into the vaginal canal. This device emits radiofrequency waves that penetrate deeply into the tissues of the vagina, raising the temperature to increase circulation and boost the natural production of new collagen. The treatment is painless and quick, and you’ll be treated with dignity and respect throughout.

Click here to find out more about Ultra Femme 360…

Emsella Chair Incontinence Kim Taylforth

BTL Emsella Chair

What is the BTL Emsella Chair?

The BTL Emsella is a revolutionary, non-invasive and totally dignified treatment that can strengthen your pelvic floor muscles and relieve some of the symptoms of GSM. It uses electromagnetic therapy to painlessly induce thousands of pelvic floor muscle contractions in a single session.

How does it help with genitourinary syndrome of menopause?

The BTL Emsella chair can help with the urinary symptoms of GSM, such as stress incontinence, as well as improving sexual pleasure. By strengthening the pelvic floor, you can tighten the vagina and increase sensitivity, improve urine control and reduce accidents and leakages.

What to expect during treatment?

The treatment is painless, dignified and completed fully clothed. Making it ideal for those who are embarrassed or uncomfortable with invasive personal treatments. You just take a seat on the chair and the electromagnetic energy contracts your pelvic floor muscles, building new muscle fibres and giving you back control.

To find out more about BTL Emsella Chair click here…

Dr Shirin Lakhani

Whatever You Need, We’re Here To Help

If you’re suffering from the symptoms of GSM, don’t suffer in silence. While it can feel intimidating to ask for help with something so personal, be sure that here at Elite Aesthetics, we’ll do all we can to help you feel comfortable as we address your menopause problems.

Click here to find out more about us…

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4.97/5 from 1229 reviews

Dr. Shirin is a fully-trained and highly-experienced aesthetic physician, who works diligently to ensure a 5 star quality service, and brings an honest and ethical approach to every one of our clients. With over 20 years of experience in the medical field, including several years as a GP and a sub-speciality in anaesthetics, Dr. Shirin is fascinated by the harmony between medicine and aesthetics, and with her expertise, Elite Aesthetics is able to offer effective, doctor-led treatments to vastly improve the lives of our clients.

To find out more about how we’ve put a smile on customers faces in the past, read our testimonials below for first-hand accounts of a variety of our treatments. You can also find out more about what we think at Elite on our blog, as well as reading more about what the press says about us. Our delighted clients hail from areas including Dartford, King’s Hill, Gravesend, Bromley, Maidstone, Sevenoaks, and West Malling – as well as from further afield.

Had a consultation with Elite yesterday, I must say I was a bit nervous, but Charlotte was so friendly and helpful.
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I was able to pick the products up with an hour, all the safety restrictions where in place and worked very well.
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I was 100% satisfied with the service I received from the moment I called Elite, every member of staff was friendly and professional.
I am looking forward to attending the clinic to have some treatments very soon.
Thank you ladies for all your help and for making me feel at ease and confident with the viviscal professional products I purchased.


Elite is an outstanding professional clinic with high standard treatments. All the staff members are friendly and offer you honest opinions when it comes to products and treatments. This is a welcoming clinic that I can 100% recommend. Treatments are spoken through and explained in detail, also aftercare. Confidential pictures are taken to review progress which is great. I have been going nearly a year now and am happy with all the treatments I’ve had, wouldn't go anywhere else. (Dermal Fillers Bromley)


Charlotte was great and gave some good advice for my skin! Thank you and will definitely recommend your services now I know where you are :)


A great discovery in the neighbourhood ! There is no need to go up to London for a beauty treatment of any kind. You'll find a whole range of different treatments suiting all age groups and concerns. Welcoming, reassuring, friendly, professional, high tech. I shall be back for more. I love the results of the Thread Lift I had.


Great clinic, lovely, clean and modern. Charlotte was excellent, knowledgeable about the treatment whilst also friendly. The facial itself was very enjoyable and my skin looks and feels tighter and smoother. I highly recommend the Hydrafacial Treatment.


Dr Shirin’s professional approach fills you with confidence. The clinic is modern and efficiently run. They certainly do their utmost to help and advise their clients. I am 100% satisfied that I made the right decision in choosing Elite Aesthetics!

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We have extensive knowledge and experience in the medical and aesthetics industries, but we know that above all, the results matter! All of our treatments are vigorously tested in-house before we offer them to our clients to ensure they are safe, effective and will give you, our wonderful clients, the results you want. Your happiness, well-being and satisfaction are at the very core of everything we do here at Elite Aesthetics, and as a result we will never over-treat or carry out a procedure that Dr. Shirin, deems inappropriate or unsafe. Ethical treatment guides our practice, and we aim to become an industry leader in this respect. This means you can always feel confident that you are in safe hands when you choose Elite Aesthetics.

Our practice is led by our founder, Dr. Shirin Lakhani, who is an advocate for greater regulation in the aesthetics industry. Dr. Shirin and Elite Aesthetics believe greater regulation is vital to the development of aesthetics industry as a whole, and as such, our clinic’s philosophy is based on providing doctor-led care to the highest, medically approved standards. We adhere to stringent ethical and medical principles ensuring all the procedures we offer are safe and effective. Dr. Shirin is also fully registered with the GMC (reference number 4634863), and Elite Aesthetics is Save Face accredited, an endorsement recognised by the UK Government, The Department of Health, NHS England and the CQC (Care Quality Commission).

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