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Investigating topical therapy for vaginal dryness

Investigating topical therapy for vaginal dryness

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Investigating topical therapy for vaginal dryness

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  1. Investigating topical therapy for vaginal dryness Angie Leather & Jacqui Stringer ICVP study day 04/03/2011

  2. “The Problem” physical menopause Vaginal Dryness psychological Ineffective treatment Cancer therapy Social/ relationship medication unrecognised ? ignored?

  3. Physical Symptoms • Dryness • Illness/disease • Body Image • Pain during ADL (passing urine, exercise…etc) • Pain at intercourse

  4. Current treatments • Hormone replacement • Lubrication • Dilation • Commitment!

  5. My husband does so much caring for me, yet I don’t feel that I can give him anything in return My husband is scared to touch me because he’s worried that he will hurt me or give me an infection I didn’t feel that it was appropriate to mention it. I thought that I shouldn’t be having sex anymore I have accepted it and have used lubricants for months now..

  6. Proposed intervention • 1gm Cocoa butter based essential oil pessaries • Use 6 nights out of 7 • 3 weeks out of 4 • Reduction in frequency • Dilation and stretching of the vaginal

  7. Feedback from patients…so far • Initial tingling / warmth upon first insertion • Patients psychologically better • Improvements in quality of life (ADL) • Able to use longer and wider dilators within weeks of commencement • Resumed intercourse • Nice smell – even dogs like it!!

  8. The future • Feasibility study looking at safety, efficacy and user acceptability • Aim: Improving quality of life!

  9. Questions and SuggestionsPlease!

  10. Contact Details • Angie Leather Tel: 0161 918 7219 email: angela.leather@christie.nhs.uk • Jacqui Stringer Tel:0161 446 3524 Mobile: 07913 292 070 email: jacqui.stringer@christie.nhs.uk