Adaptation of the Genitourinary Syndrome of Menopause Symptoms and Vaginal Treatments Acceptability Questionnaire Into Turkish.

INTRODUCTION AND HYPOTHESIS: This study aimed to adapt the original instrument titled Genitourinary Syndrome of Menopause Symptoms and Vaginal Treatments Acceptability Questionnaire into Turkish and to evaluate the validity and reliability of the obtained Turkish version.

METHODS

This methodological study was conducted with 505 postmenopausal women receiving care at the women's health clinic of a public hospital in Türkiye. The adaptation process included forward-backward translation, expert review, pilot testing, and statistical analyses. Construct validity was assessed using confirmatory factor analysis, and internal consistency was evaluated using Cronbach's alpha coefficient. Additionally, discriminant validity analysis was performed.

RESULTS

The results of the confirmatory factor analysis supported the original three-factor structure of the questionnaire in the Turkish sample (CFI 0.973, TLI 0.976, RMSEA 0.027). The overall Cronbach's alpha coefficient of the scale was 0.853, with subscale values ranging from 0.787 to 0.930. Significant differences were found between the upper and lower 27% groups, indicating strong discriminative power. Negatively worded items in domain C adversely affected internal consistency, and their revision is recommended.

CONCLUSION

The Turkish version of the Genitourinary Syndrome of Menopause Symptoms and Vaginal Treatments Acceptability Questionnaire is a valid and reliable self-report instrument for assessing symptom burden, quality of life, and treatment acceptability in postmenopausal women. It can be used in clinical practice for diagnosis and follow-up, and as a culturally sensitive data collection tool in scientific research.