skip to main content

Genitourinary syndrome of menopause — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

ModerateGynaecologyGenitourinary syndrome of menopauseDRCOG

A 48-year-old woman has vaginal dryness, superficial dyspareunia and recurrent urinary discomfort. Her periods became infrequent over the past year. Pelvic examination shows pale vaginal mucosa without lesions. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Genitourinary syndrome of menopause

Vaginal dryness, superficial dyspareunia, urinary symptoms and pale mucosa in the menopausal transition suggest genitourinary syndrome of menopause. Herpes would usually cause painful vesicles or ulcers rather than chronic atrophic change. The pearl is that local vaginal oestrogen can be considered even when systemic vasomotor symptoms are absent.

Reference: NICE NG23