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Investigating topical therapy for vaginal dryness

This study investigates the effectiveness of cocoa butter-based essential oil pessaries in alleviating vaginal dryness, particularly for women experiencing physical and psychological challenges due to menopause or cancer therapy. Current treatments often lack efficacy, leaving symptoms unrecognized. The proposed intervention includes nightly use of pessaries alongside dilation exercises. Initial patient feedback shows promising improvements in comfort, quality of life, and the ability to resume sexual activity. We aim to optimize safety, efficacy, and user acceptance through a feasibility study.

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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

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