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Dehydroepiandrosterone intra vaginal administration for the management of postmenopausal vulvovaginal atrophy.

Abstract
The effects of intravaginal administration of dehydroepiandrosterone (DHEA) for the management of symptomatic vulvovaginal atrophy are reviewed. A literature search related to vulvovaginal atrophy, vaginal atrophy, atrophic vaginitis, estrogen, dehydroepiandrosterone, vulvar itching, burning, dryness, dyspareunia, and libido was performed. Relevant articles addressing the incidence, management, and outcome of DHEA therapy were identified and used for this Expert Opinion. DHEA compared to a placebo is an effective treatment improving symptoms of vaginal atrophy: dyspareunia, burning, itching, and dryness. Objective parameters of vaginal atrophy, specifically pH, vaginal maturation index (VMI), and investigator-evaluated changes in the vagina: moisture, epithelia integrity and color were improved compared to baseline and placebo. There were significant improvements in libido and dyspareunia with the intravaginal use of DHEA that contribute to improved quality of life for postmenopausal women. Dehydroepiandrosterone administered intravaginally on a daily basis is an effective treatment for symptoms, and signs of vulvovaginal atrophy along with libido in postmenopausal women. This article is part of a Special Issue entitled 'Essential role of DHEA'.
AuthorsDavid F Archer
JournalThe Journal of steroid biochemistry and molecular biology (J Steroid Biochem Mol Biol) Vol. 145 Pg. 139-43 (Jan 2015) ISSN: 1879-1220 [Electronic] England
PMID25201455 (Publication Type: Journal Article, Review)
CopyrightCopyright © 2014 Elsevier Ltd. All rights reserved.
Chemical References
  • Dehydroepiandrosterone
Topics
  • Atrophy
  • Dehydroepiandrosterone (administration & dosage, therapeutic use)
  • Dyspareunia (drug therapy)
  • Female
  • Humans
  • Hydrogen-Ion Concentration
  • Libido
  • Ovule (drug effects)
  • Postmenopause
  • Quality of Life
  • Treatment Outcome
  • Vagina (drug effects, pathology)
  • Vaginal Diseases (drug therapy, pathology)

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