Aim of the current study: To evaluate the effect of a14 day treatment period with local intravaginal application of an oxytocin-containing gel on vaginal atrophy, psychosexual and psychological/cognitive function, and metabolic, stress, and inflammatory parameters in Egyptian post-menopausal women
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
50
The active oxytocin gel (A) consisted of oxytocin dissolved in a gel-based on hypromellose with a pH of 3.8. 1 ml of gel contained 600 IU of oxytocin
The placebo gel (B) consisted of the gel alone
Al-Galaa Teaching Hospital
Cairo, Egypt
vaginal pallor
A vaginal inspection was performed to establish the presence of vaginal pallor
Time frame: by the end of 14 successive days of regular use
intravaginal potential of hydrogen (pH)
Intravaginal pH was measured by a litmus paper applied intravaginally
Time frame: by the end of 14 successive days of regular use
Cytological examination of vaginal smear
A piece of cotton was applied on a stick ( a vaginal swab) to the posterior vaginal wall to collect material from the epithelium
Time frame: by the end of 14 successive days of regular use
The Female Sexual Function Index (FSFI) questionnaire
19 questions to measure sexual function in six domains, including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain. We applied the modified FSFI, which included 6 questions to measure sexual function in the six domains (one question for each). The score for each domain is evaluated by six levels (from 0 to 6); the lowest is 0, and the maximum is 6. The sexual function was assessed by the sum of all 6 domains.
Time frame: by the end of 14 successive days of regular use
questionnaire to assess the psychological function
It consisted of 6 domains, including social cognition, memory, social trust, prosocial behavior, aggressive behavior, and depression, which included 2 questions for memory and depression and one question for social cognition, social trust, prosocial behavior, and aggressive behavior. The score for each domain is evaluated by 4 levels (from 0 to 3), the lowest is 0, and the maximum is 3. The psychological function was assessed by the sum of all domains.
Time frame: by the end of 14 successive days of regular use
Visual Analogue Scale (VAS)
to assess the severity of the vaginal pain if present. The score ranges from 0 if no pain to 10 for the severest degree of pain.
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Time frame: by the end of 14 successive days of regular use
Cholesterol
to assess the serum level in both groups
Time frame: by the end of 14 successive days of regular use
Triglyceride
to assess the serum level in both groups
Time frame: by the end of 14 successive days of regular use
HDL-C
to assess the serum level in both groups
Time frame: by the end of 14 successive days of regular use
LDL-C
to assess the serum level in both groups
Time frame: by the end of 14 successive days of regular use
C-Reactive Protein (CRP)
to assess the serum level in both groups
Time frame: by the end of 14 successive days of regular use
Random blood sugar (RBS)
to assess the serum level in both groups
Time frame: by the end of 14 successive days of regular use
HBA1C
to assess the serum level in both groups
Time frame: by the end of 14 successive days of regular use
Insulin
to assess the serum level in both groups
Time frame: by the end of 14 successive days of regular use
C-Peptide F
to assess the serum level in both groups
Time frame: by the end of 14 successive days of regular use
Cortisol at morning
to assess the serum level in both groups
Time frame: by the end of 14 successive days of regular use
Interleukin-6 (IL-6)
to assess the serum level in both groups
Time frame: by the end of 14 successive days of regular use
Tumor necrosis factor-Alfa (TNF-Alfa)
to assess the serum level in both groups
Time frame: by the end of 14 successive days of regular use