Title
The Effects of Local Vaginal Estrogen in Postmenopausal Women With Pelvic Organ Prolapse
The Effects of Local Vaginal Estrogen in Postmenopausal Women With Pelvic Organ Prolapse: A Randomized Control Trial
Phase
Phase 3Lead Sponsor
TriHealthStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Pelvic Organ Prolapse Vaginal AtrophyIntervention/Treatment
conjugated equine estrogens ...Study Participants
54The purpose of this study is to find out how long it takes the vagina to respond to hormonal vaginal cream in women with pelvic organ prolapse (bulge in the vagina). It also will address the appropriate amount to use prior to vaginal repair of pelvic organ prolapse.
Subjective and objective vaginal health symptoms, validated pelvic floor questionnaires, cytology and histology will be analyzed.
Women in this arm will apply 0.5gm vaginal estrogen cream nightly until surgery.
Women in this arm will apply 1.0gm vaginal estrogen cream nightly until surgery.
Application of 0.5gm of vaginal estrogen cream nightly until surgery.
Application of 1.0gm of vaginal estrogen cream nightly until surgery.
Women in this arm will not apply any cream or moisturizers to the vagina until surgery, ie no intervention.
Inclusion Criteria: Women aged 45 years or older Postmenopausal (>55 if natural menopause) Clinical atrophic vaginitis (at least mild atrophy) Pelvic organ prolapse(at least stage 2 or greater) Posthysterectomy Surgery date between 2-12 weeks after recruitment Exclusion Criteria: Uterus present Well-estrogenized appearing vagina Known or suspected history of breast carcinoma Hormone-dependent tumor Genital bleeding of unknown cause Acute thrombophlebitis or thromboembolic disorder associated with estrogen use Vaginal infection requiring treatment Allergy to estrogen or its constituents Any serious disease or chronic condition that would interfere with study compliance or preoperative surgical clearance. Use of exogenous corticosteroid or sex hormones (including homeopathic preparation) within the 8 weeks prior to recruitment Initiation or continuation of anticholinergic medication (which could bias the results of the pelvic floor questionnaires)