Vaginal Disease
Conditions
Brief summary
Characterization of the vaginal microbiota of women under fertile age and study of correlations with gynecological disorders
Detailed description
The study aimed to characterize, in women under fertile age, the composition and dynamics of the vaginal microbiota as well as to in-depth study correlations among microbiota and gynecological disorders
Interventions
Assumption of commercial probiotics
No assumption of probiotics
Sponsors
Study design
Eligibility
Inclusion criteria
* Age between 18 and 45 years; * Presence of at least one vaginal sign or symptom (leucorrhoea, burning, itching, and subjective vaginal discomfort); * Presence of at least 3 Amsel criteria; * Nugent score ≥ 7; * lactobacillary grade ≥ 2 (LBG) (according to Donders classification); * presence of blastospores and/or pseudohyphae evaluated by fresh mount microscopy
Exclusion criteria
* Age \< 18 years; * Nugent score \< 7; * presence of sexually transmitted disease due to Chlamydia, Neisseria gonorrhoeae, or Trichomonas vaginalis as well as specific cervico-vaginitis or severe vulvovaginal symptoms related to acute candidiasis; * Clinically apparent herpes simplex infection; * Human papillomavirus or human immunodeficiency virus infections; * Use of antibiotic, antifungal, probiotic, or immunosuppressive drugs during the past four weeks; * Use of vaginal contraceptives; * Pregnancy or breastfeeding, chronic diseases, neoplastic disease, diabetes, genital tract bleeding)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Signs | Baseline; end of the treatment (10 days) ; wash-out (4 weeks) | Change from baseline of Amsel's criteria at the end of the treatment (10 days) and during the wash-out period (4 weeks after the end of the treatment) |
| Symptomatology | Baseline; end of the treatment (10 days) ; wash-out (4 weeks) | Change from baseline of vulvovaginal erythema/edema, vulvar discomfort, burning, and itching |
| Microbiota | Baseline; end of the treatment (10 days) ; wash-out (4 weeks) | Change from baseline in the composition of the vaginal microbiota with the increase of the cell density of lactobacilli (at least 3 log units) and decrease of pathogens (at least 2 log units) at the end of the treatment (10 days) and during the wash-out period (4 weeks after the end of the treatment) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Wellbeing | Baseline; end of the treatment (10 days) ; wash-out (4 weeks) | Change from baseline of the quality of life based on the Short Form-36 (SF-36) questionnaire. Values ranging from 0 to 100 indicate worst and better outcomes, respectively. |
Countries
Italy