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Analysis of the effectiveness and security of hyaluronic acid vaginal gel to alleviate genital dryness: a multicenter, randomized, regulated, open-label, parallel-group, medical trial. J Sex Med. 2013; 10( 6 ):1575-- 1584. 24.Pickar JH. Emerging therapies for postmenopausal vaginal atrophy. Maturitas. 2013; 75( 1 ):3-- 6. 25.Rahn DD, Carberry C, Sanses TELEVISION, et al. Vaginal estrogen for genitourinary disorder of menopause: a systematic evaluation.


2014; 124( 6 ):1147-- 1156. 26.Administration of symptomatic vulvovaginal atrophy: 2013 placement statement of The North American Menopause Culture. Menopause. 2013; 20( 9 ):888-- 902. 27.Suckling J, Lethaby A, Kennedy R. Citizen oestrogen for genital atrophy in postmenopausal women. Cochrane Data Source Syst Rev. 2006;-LRB- 4 ): CD 001500. 28.Kingsberg SA, Krychman M, Graham S, Bernick B, Mirkin S. The Female's EMPOWER Survey: Identifying Female's Understandings on Vulvar as well as Genital Degeneration and Its Treatment.


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2017; 14( 3 ):413-- 424. 29.Constantine GD, Simon JA, Pickar JH, et al. The REJOICE test: a phase 3 randomized, controlled test assessing the safety and security as well as efficiency of a novel vaginal estradiol soft-gel pill for symptomatic vulvar and vaginal degeneration. Menopause. 2017; 24( 4 ):409-- 416. 30.Simon JA, Archer DF, Constantine GD, et al. A vaginal estradiol softgel capsule, TX-004HR, has minimal to extremely reduced systemic absorption of estradiol: Efficacy and also pharmacokinetic data evaluation.


2017; 99:51-- 58. 31.Pickar JH, Amadio JM, Bernick BA, Mirkin S. Pharmacokinetic research studies of solubilized estradiol offered vaginally in an unique softgel capsule. Climacteric. 2016; 19( 2 ):181-- 187. 32.Santen RJ. Vaginal administration of estradiol: impacts of dose, preparation and also timing on plasma estradiol levels. Climacteric. 2015; 18( 2 ):121-- 134. 33.Naessen T, Berglund L, Ulmsten U. Bone loss in elderly ladies prevented by ultralow doses of parenteral 17beta-estradiol.


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1997; 17734( 1 ):115-- 119. 34.Naessen T, Rodriguez-Macias K, Lithell H. Product lipid profile enhanced by ultra-low doses of 17 beta-estradiol in senior females. J Clin Endocrinol Metab. 2001; 86( 6 ):2757-- 2762. 35.Manson JE, Chlebowski RT, Stefanick ML, et al. Menopausal hormonal agent therapy as well as health and wellness outcomes during the treatment as well as prolonged poststopping phases of the Women's Health Campaign randomized tests.


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2013; 310( 13 ):1353-- 1368. 36.Mitchell CENTIMETERS, Reed SD, Diem S, et al. Efficacy of vaginal estradiol or genital cream vs placebo fot treating postmenopausal vulvo genital signs and symptoms: a randomized scientific trial. JAMA Trainee Medication. 2018; 178( 5 ):681-- 690. 37.Paton DM. Ospemifene for the treatment of dyspareunia in postmenopausal females. Medications Today. 2014; 50( 5 ):357-- 364. 38.Mirkin S, Pickar JH.


Maturitas. 2015; 80( 1 ):52-- 57. 39.Constantine GD, Goldstein SR, Archer DF. Endometrial safety and security of ospemifene: results of the phase 2/3 scientific advancement program. Menopause. 2015; 22( 1 ):36-- 43. 40.Pinkerton JV, Stanczyk FZ. Clinical impacts of discerning estrogen receptor modulators on vulvar as well as genital degeneration. Menopause. 2014; 21( 3 ):309-- 319. 41.Moffett A, Ettinger M, Bolognese M, et al. Lasofoxifene, a future generation SERM, is efficient in protecting against loss of BMD and also decreasing LDLC in postmenopausal women.


2004; 19:96. 42. london vaginal atrophy clinic.Mcclung MR, Siris E, Cummings S, et al. Avoidance of bone loss in postmenopausal women treated with lasofoxifene compared to raloxifene. Menopause. 2006; 13( 3 ):377-- 386. 43.Cummings S, Eastell R, Ensrud K. The impacts of lasofoxifene on cracks and also breast cancer: 3 year results from the PEARL test. J Bone Miner Res.


44.Gennari L, Lasofoxifene GL. Lasofoxifene, a new careful estrogen receptor modulator for the therapy of osteoporosis and vaginal atrophy. Expert Opin Pharmacother. 2009; 10( 13 ):2209-- 2220. 45.Kagan R, Williams RS, Pan K, Mirkin S, Pickar JH. A randomized, sugar pill- and active-controlled trial of bazedoxifene/conjugated estrogens for treatment of moderate to extreme vulvar/vaginal atrophy in postmenopausal ladies.


2010; 17( 2 ):281-- 289. 46.Lobo RA, Pinkerton JV, Gass ML, et al. Evaluation of bazedoxifene/conjugated estrogens for the treatment of menopausal symptoms and also effects on metabolic parameters and general safety profile. Fertil Steril. 2009; 92( 3 ):1025-- 1038. 47.Komm BS, Mirkin S. Development of the tissue discerning estrogen complex (TSEC). J Cell Physiol. understanding the menopause. 2013; 228( 7 ):1423-- 1427. 48.Portman DJ, Labrie F, Archer DF, et al.


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Menopause. 2015; 22( 12):1289-- 1295. 49.Labrie F, Archer DF, Koltun W, et al. Effectiveness of intravaginal dehydroepiandrosterone (DHEA) on modest to severe dyspareunia and genital dry skin, signs of vulvovaginal degeneration, and also of the genitourinary disorder of menopause. Menopause. 2016; 23( 3 ):243-- 256. 50.Abrahamse H. Regenerative medicine, stem cells, as well as low-level laser therapy: future directives. Photomed Laser Surg.


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51.Salvatore S, Athanasiou S, Candiani M, Stefano S, Stavros A, Massimo C. Making use of pulsed Carbon Monoxide 2 lasers for the treatment of vulvovaginal atrophy. Curr Opin Obstet Gynecol. 2015; 27( 6 ):1-- 8. 52.Hutchinson-Colas J, Segal S. Genitourinary syndrome of menopause therapy. Maturitas. 2015; 82:342-- 345. 53. Salvatore S, Nappi RE , Parma M, et al. Sex-related function after fractional microablative Carbon Monoxide 2 laser in women with vulvovaginal degeneration. As females age, their estrogen degrees decrease. Later in life, several will certainly deal with uncomfortable vaginal symptoms such as dry skin, atrophy, burning, and also irritation; sex-related problems like lack of lubrication, discomfort or pain throughout sexual intimacy; as well as urinary system signs like seriousness, dysuria, as well as frequent urinary tract infections. Genitourinary syndrome of menopause( GSM) schedules to estrogen shortage in the bladder and in genital and also urethral tissues. Earlier this year, the FDA released a warning relating to the safety and efficacy of vaginal.


" rejuvenation "and cosmetic vaginal treatments that make use of lasers, primarily since they were being advertised as a method to deal with vaginal dryness and various other medical issues for which the lasers were unclear, and it located a threat of scarring, burning, and also chronic discomfort. Thirty were given 3 laser therapies, and 32 received estrogen lotion. The results were that 85.8 percent.


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of laser participants ranked their improvement as" much better or a lot better," and also 78.5 percent reported being either "satisfied or very pleased." In the estrogen group, the results were 70 percent and also 73.3 percent, specifically (menopause). About 20 to 25 percent of the ladies in the laser group needed further therapy after a year. The estrogen lotion continued.


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to work as long as the ladies took it as recommended." This shows that there were not any kind of distinctions between the therapies in the example size that we had," says Marie Fidela R. RELATED: The Wild History of Female's Hormonal agent Treatment It is crucial to deal with GSM, since treatment can relieve pain during intercourse, seriousness and also regularity of urinating, and also urinary desire urinary incontinence." [GSM] affects high quality of life and relationships, and also it can even affect enjoyment of life because it makes women feel old.

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