id: sig-20260710-gsm-first-line-local-estrogen
site_id: genitourinary-syndrome-menopause
site_hint: "genitourinary syndrome of menopause — topic"
attribute: guideline_recommendation
value: "Recommends symptom-based diagnosis, shared decision-making, and local (vaginal) estrogen as a first-line therapy for genitourinary syndrome of menopause."
source_url: https://www.auajournals.org/doi/10.1097/JU.0000000000004589
source_title: "AUA / SUFU / AUGS — 2025 Guideline on Genitourinary Syndrome of Menopause"
publisher: American Urological Association / SUFU / AUGS (Journal of Urology)
source_date: "2025"
observed_date: "2026-07-10"
collected_by: gn_info_scout/1.0.0
confidence: high