Postmenopausal Pessary Users: Estrogen Versus Trimosan
Study Details
Study Description
Brief Summary
The purpose of the study is to compare vaginally applied estrogen with the vaginal gel trimosan for their effects on vaginal pH and vaginal symptoms in postmenopausal pessary users.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: Estrogen vaginal cream
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Drug: Estrogen vaginal cream
Either Premarin or Estrace cream will be used (dependent on patient's insurance). Premarin 1 gram every night for the first 7 days, then 0.5 grams twice weekly. Estrace cream 2 grams daily for first 7 days, then 1 gram twice-weekly.
Other Names:
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Active Comparator: Trimo-San vaginal gel
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Drug: Trimo-San vaginal gel
Half applicator for three times a week for 1st week, then half applicator for 2 times a week.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Vaginal pH as measured by pH strips [baseline]
- Vaginal pH as measured by pH strips [3 months]
Secondary Outcome Measures
- Vaginal Symptoms as assessed by a vaginitis questionnaire [baseline]
- Vaginal Symptoms as assessed by a vaginitis questionnaire [3 months]
- Number of participants with vaginosis infection [baseline]
Vaginosis infection will be diagnosed either by gram staining or an Affirm bacterial vaginosis (BV) test, which probes for DNA of microorganisms that cause BV.
- Number of participants with vaginosis infection [3 months]
Vaginosis infection will be diagnosed either by gram staining or by an Affirm bacterial vaginosis (BV) test, which probes for DNA of microorganisms that cause BV.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Postmenopausal female pessary user (ring with support pessaries only). Postmenopausal will be defined as: amenorrhea for a year or 3 months after surgical bilateral salpingo-oophorectomy
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Is a new pessary user, or has not had a pessary for a year
Exclusion Criteria:
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Pregnancy
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Persistent Bacterial Vaginosis infection in the first two clinic encounters
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Currently on hormone replacement therapy
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Previously on hormone replacement therapy in the past 6 months
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Currently on antibiotics
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Patients with existing vaginal erosions/ulcerations
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | The University of Texas Health Science Center at Houston | Houston | Texas | United States | 77030 |
Sponsors and Collaborators
- The University of Texas Health Science Center, Houston
Investigators
- Principal Investigator: Gazala Siddiqui, MD, The University of Texas Health Science Center, Houston
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HSC-MS-15-0337