OBJECTIVE To examine associations between the composition of the vaginal microbiota and genitourinary menopausal symptoms, serum estrogen, and vaginal glycogen. METHODS For this cross-sectional study, 88 women aged 40 to 62 years, enrolled in a hot flash treatment trial, provided vaginal swabs and a blood sample at enrollment. Bacterial communities were characterized using 16S rRNA PCR and de...

Management considerations Pretreatment evaluation Vasomotor symptoms Urogenital and Vaginal symptoms The role of local vaginal estrogen for treatment of vaginal atrophy in postmenopausal women Progestogen indication Venous thromboembolism Stroke Diabetes mellitus Breast cancer Endometrial cancer Ovarian cancer Colorectal cancer Gallbladder disease Osteoporosis Dementia and cognitive decline Dep...

Aim: To define the admission symptoms and complaints of cases with vaginal cuff prolapse
 Materials Methods: A retrospective study between January 2019 – 2021 including 34 patients admitted to University Health Science Turkey diagnosis prolapse. While who had grade < 3 prolapse were accepted as early stage prolapse, ≥ advanced Patients’ initial clinical at time recorded.
 Results: ...

A woman with controlled HIV infection developed in late August 2016 a pruritic rash with fever and conjunctival hyperaemia after a trip to the French Caribbean islands. On day 3 after symptom onset, Zika virus RNA was detected in plasma, urine and vaginal samples with respective viral loads of 3.8, 6.1 and 5.3 log copies/mL. Notably, we demonstrated the presence of infectious Zika virus particl...

Uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis is a rare congenital anomaly. Excision of the obstructed vaginal septum is the treatment of choice for symptom relief and the preservation of reproductive capability. A 14-yr-old girl complained of persistent vaginal spotting following each menstruation. Pelvic magnetic resonance imaging revealed a uterus didelphys with ...

OBJECTIVE To compare vaginal anatomy and sexual function after the conventional posterior and anterior sacrospinous vault suspension. METHODS A retrospective repeated measures cohort study included all 168 consecutive sacrospinous vault suspension procedures between July 1990 and February 1997. The posterior suspension (n = 92) used a posterior vaginal incision and pararectal dissection. Ante...

results the mean age of the patients was 14.73 ± 2.3 (range 13-16) years. the most common symptom was cyclic dysmenorrhea. the vaginal septum was resected safely in all of the patients. the symptoms including cyclic dysmenorrhea and hematometra resolved after 3 months. conclusions hysteroscopic resection of the vaginal septum is an available, feasible, convenient, and effective tool in the mana...

OBJECTIVES To measure the effect of vaginal estrogen cream in the treatment of vaginal atrophy in menopausal Indian women. METHODS A total of 50 menopausal women aged between 40 and 80 years old with symptoms of vaginal atrophy were selected and treated with 0.5 g vaginal estrogen cream, twice weekly for 12 weeks. The women were followed-up monthly where symptom score, Genital Health Clinical...

OBJECTIVES To examine characteristics of pregnant women associated with cervical infection, and to evaluate the accuracy of symptom-based and risk assessment systems which have been developed for identifying cervical infection in antenatal women. METHODS Interviews were conducted and physical examinations performed on 291 consecutive antenatal clinic attenders in nairobi, Kenya. Vaginal, cerv...

OBJECTIVES To explore clinically relevant differences in severity of vulvar and vaginal atrophy (VVA) in postmenopausal women treated with ospemifene compared with placebo. METHODS Analysis of two multicenter, randomized, double-blind, 12-week phase-III studies in postmenopausal women (40-80 years, with VVA, treated with ospemifene 60 mg/day or placebo (Study 310 and Study 821)). Severity of ...