Intravaginal estrogen

Intravaginal estrogen has been studied in 1 paper since 2024: none in people yet, 1 review. No study of it in people or animals has been published yet. The newest paper, Aug 1, 2024: “Efficacy and Safety of Intravaginal Estrogen in the Treatment of Atrophic Vaginitis: A Systematic Review and Meta-Analysis”.

Intervention

1 paper studies it5 findingsUpdated

See all 1 papers on intravaginal estrogen

At a glance

The findings reach people, from one lab or study. 1 lab in 1 country.

“Patients using estrogen showed a significant increase in superficial cells (mean differences [MD]: 19.28; 95% confidence intervals [CI]: 13.40 to 25.16; I2 = 90%; P < 0.00001)”
Efficacy and Safety of Intravaginal Estrogen in the Treatment of Atrophic Vaginitis: A Systematic Review and Meta-AnalysisJournal of menopausal medicine2024doi:10.6118/jmm.23037

None of its findings points the other way.

Humans: a single group. Cells, worms or flies and mice: nothing yet.
  • 1 lab in 1 country

Studies in people

1 study gave intravaginal estrogen to people and measured what changed.

What changedDesignPeopleSource

up: Increases superficial cellsMD 19.28 (95% CI 13.40 to 25.16)

down: Decreases vaginal pHMD -0.94 (95% CI -1.05 to -0.84)

down: Decreases dyspareuniaMD -0.52 (95% CI -0.63 to -0.41)

Review of trials4,723 people pooledWomenpostmenopausalPostmenopausal womenJournal of menopausal medicine, Aug 1, 2024

What did studies of intravaginal estrogen find?

5

Studies of intravaginal estrogen measured 5 outcomes; the most studied are adverse events (1 study), vaginal dryness (1) and dyspareunia (1).

Adverse events

no changein humans1RR 0.95

1 study
  1. Intravaginal estrogen showed no clear effect on adverse events in humans (compared with placebo) (RR 0.95 (95% CI 0.88 to 1.02)).

    “Adverse events like vulvovaginal pruritis, mycotic infection, and urinary tract infection were reported, but the association was insignificant”

    Human trialcompared with placebointravaginalvaginafemalesn = 4,723

    Efficacy and Safety of Intravaginal Estrogen in the Treatment of Atrophic Vaginitis: A Systematic Review and Meta-Analysis

    Journal of menopausal medicine

Vaginal dryness

no changein humans1

1 study
  1. Intravaginal estrogen showed no clear effect on vaginal dryness in humans (compared with placebo) (MD -0.04 (95% CI -0.18 to 0.11)).

    “Estrogen did not significantly affect vaginal dryness (MD: -0.04; 95% CI: -0.18 to 0.11; I2 = 88%)”

    Human trialcompared with placebointravaginalvaginafemalesn = 4,723

    Efficacy and Safety of Intravaginal Estrogen in the Treatment of Atrophic Vaginitis: A Systematic Review and Meta-Analysis

    Journal of menopausal medicine

Dyspareunia

downin humans1

1 study
  1. Intravaginal estrogen decreases dyspareunia in humans (compared with placebo) (MD -0.52 (95% CI -0.63 to -0.41)).

    “Vaginal pH and dyspareunia significantly reduced in estrogen users (MD: -0.94; 95% CI: -1.05 to -0.84; I2 = 96%) and (MD: -0.52; 95% CI: -0.63 to -0.41; I2 = 99%)”

    Human trialcompared with placebointravaginalvaginafemalesn = 4,723

    Efficacy and Safety of Intravaginal Estrogen in the Treatment of Atrophic Vaginitis: A Systematic Review and Meta-Analysis

    Journal of menopausal medicine

Vaginal pH

downin humans1

1 study
  1. Intravaginal estrogen decreases vaginal pH in humans (compared with placebo) (MD -0.94 (95% CI -1.05 to -0.84)).

    “Vaginal pH and dyspareunia significantly reduced in estrogen users (MD: -0.94; 95% CI: -1.05 to -0.84; I2 = 96%)”

    Human trialcompared with placebointravaginalvaginafemalesn = 4,723

    Efficacy and Safety of Intravaginal Estrogen in the Treatment of Atrophic Vaginitis: A Systematic Review and Meta-Analysis

    Journal of menopausal medicine

More on Vaginal pH

Superficial cells

upin humans1

1 study
  1. Intravaginal estrogen increases superficial cells in humans (compared with placebo) (MD 19.28 (95% CI 13.40 to 25.16)).

    “Patients using estrogen showed a significant increase in superficial cells (mean differences [MD]: 19.28; 95% confidence intervals [CI]: 13.40 to 25.16; I2 = 90%; P < 0.00001)”

    Human trialcompared with placebointravaginalvaginafemalesn = 4,723

    Efficacy and Safety of Intravaginal Estrogen in the Treatment of Atrophic Vaginitis: A Systematic Review and Meta-Analysis

    Journal of menopausal medicine

More on Superficial cells

Latest