Genital Prolapse
Conditions
Keywords
Estriol, Prolapse, Quality of life, Vaginal health, Vaginal surgery
Brief summary
The purpose of this study is to determine whether the vaginal estriol before vaginal surgery for pelvic statics disorders is more efficacy of no estriol treatment on vaginal health and quality of life.
Detailed description
The aim of this randomized study was to evaluate the efficacy of low concentration of vaginal estriol gel (0.005%, 50 micrograms/1 g vaginal gel) in women with pelvic statics disorders before vaginal surgical treatment (group A), assessing the vaginal dryness, dysuria, vaginal maturation index (VMI), pH and the Vaginal Health Index (VHI). Secondary, to investigate the changes of sexual function and QoL. Women without pre surgical estriol treatment constituted the control group (group B).
Interventions
Study Group, treated with estriol Control Group, no drug treatment Both groups will undergo vaginal surgery for prolapse
Control Group
Sponsors
Study design
Eligibility
Inclusion criteria
* genital dryness, * irritation/burning/itching of vulvas or vagina * decreased lubrication with sexual activity * discomfort or pain with sexual activity * decreased arousal, orgasm, desire * dysuria.
Exclusion criteria
* previous surgeries for pelvic organ prolapse * urinary incontinence * usage of medication * chronic medical illness * body mass index (BMI) ≥ 35 kg/m2 * endometrial thickness equal to or greater than 4 mm * abnormal uterine bleeding * hormone-dependent malignancies * history of thromboembolic disease * liver disease * usage of HT for less than 3 months * usage of phytoestrogens within 1 month before the start of the study * partner affected by sexual disorder * conflicting with the partner
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Vaginal Health Indexes | vaginal gel containing 50 µg of estriol, daily, for a complete cycle of treatment of 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| QoL and sexual function were investigated by the Short Form 36 (SF-36) | vaginal gel containing 50 µg of estriol, daily, for a complete cycle of treatment of 12 weeks |
| Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire short form (PISQ-12), respectively | vaginal gel containing 50 µg of estriol, daily, for a complete cycle of treatment of 12 weeks |