1. Comparison of the effects of Pueraria mirifica gel and of placebo gel on the vaginal microenvironment of postmenopausal women with Genitourinary Syndrome of Menopause (GSM)
- Author
-
Wichai Cherdshewasart, Jittima Manonai, Areepan Sophonsritsuk, and Chuleekorn Sritonchai
- Subjects
medicine.medical_specialty ,Placebo ,General Biochemistry, Genetics and Molecular Biology ,Double-Blind Method ,Internal medicine ,medicine ,Humans ,Sex organ ,Postmenopausal women ,biology ,Plant Extracts ,Genitourinary system ,business.industry ,Obstetrics and Gynecology ,Bacterial Infections ,Syndrome ,Hydrogen-Ion Concentration ,Middle Aged ,medicine.disease ,biology.organism_classification ,Female Urogenital Diseases ,Postmenopause ,Menopause ,Pueraria ,Mycoses ,Vagina ,Vaginal Creams, Foams, and Jellies ,Female ,Nugent score ,Bacterial vaginosis ,business ,Phytotherapy ,Pueraria mirifica - Abstract
To compare the effects of a 12-week course of 5%Pueraria mirifica gel and placebo gel on the prevalence of bacterial vaginosis, vaginal fungi, vaginal pH, vaginal health index (VHI), and genitourinary symptoms in postmenopausal women.In a randomized, double-blinded, placebo-controlled study (TCTR20160517002), 60 postmenopausal women were randomly assigned to a 12-week course of eitherP. mirifica gel or identical placebo gel.Vaginal Nugent score, fungal culture, pH, VHI, and genitourinary symptoms were evaluated at baseline and after 12 weeks of treatment.After 12 weeks of treatment, the proportion of participants with an abnormal Nugent score in the P. mirifica and the placebo groups were 6.7 % (2/30) and 23.3 % (7/30), respectively (p = 0.006). The mean changes in Nugent scores and VHI were significantly higher in the P. mirifica group (p 0.05). There were no significant decreases in the prevalence of symptoms between the two groups after treatment (p 0.05).A 12-week course of treatment with 5 % P. mirifica vaginal gel in postmenopausal women with GSM has been proved to be effective in reducing indicators of bacterial vaginosis compared with placebo gel. Nevertheless, the effect on alleviating genital symptoms was not demonstrated.
- Published
- 2020