Experience with ospemifene in patients with vulvar and vaginal atrophy and associated sexual dysfunction: case studies

The pathophysiological changes associated with hypoestrogenism of menopause, a condition known as genitourinary syndrome of menopause, are responsible for the hallmark symptoms of vulvovaginal atrophy (VVA), namely dyspareunia secondary to vaginal dryness. Many postmenopausal women with VVA find sex...

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Main Authors: Ana Rosa Jurado López, Francisca Molero Rodríguez
Format: Article
Language:English
Published: BioExcel Publishing Ltd 2020-07-01
Series:Drugs in Context
Subjects:
Online Access:https://www.drugsincontext.com/experience-with-ospemifene-in-patients-with-vulvar-and-vaginal-atrophy-and-associated-sexual-dysfunction:-case-studies/
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author Ana Rosa Jurado López
Francisca Molero Rodríguez
author_facet Ana Rosa Jurado López
Francisca Molero Rodríguez
author_sort Ana Rosa Jurado López
collection DOAJ
description The pathophysiological changes associated with hypoestrogenism of menopause, a condition known as genitourinary syndrome of menopause, are responsible for the hallmark symptoms of vulvovaginal atrophy (VVA), namely dyspareunia secondary to vaginal dryness. Many postmenopausal women with VVA find sexual relations to be challenging or impossible. Ospemifene has estrogen-like effects on the vaginal epithelium, and is indicated to treat moderate-to-severe symptomatic VVA (Europe) or moderate-to-severe symptomatic dyspareunia and vaginal dryness (United States) in postmenopausal women. The case studies presented in this article follow the progress of two women who began treatment with ospemifene for the main presenting symptom of dyspareunia. Both women had concerns about the impact of their symptomatology on new relationships. The patient in case 1 experienced relevant improvement within 3 months of treatment start and, by 1 year, dyspareunia was absent. Vaginal lubricants were no longer required. The patient in case 2 experienced relevant improvement within 4 weeks of starting ospemifene. At 15 months, with the use of a lubricant for vaginal penetration, she could enjoy sexual intercourse without pain. At the time of writing, she had been receiving ospemifene continuously for more than 2 years with effective symptom relief and good tolerability.
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spelling doaj.art-0b41a62e9b81404bb165053516ef97152022-12-21T19:56:50ZengBioExcel Publishing LtdDrugs in Context1740-43981740-43982020-07-0191610.7573/dic.2020-3-8Experience with ospemifene in patients with vulvar and vaginal atrophy and associated sexual dysfunction: case studiesAna Rosa Jurado LópezFrancisca Molero RodríguezThe pathophysiological changes associated with hypoestrogenism of menopause, a condition known as genitourinary syndrome of menopause, are responsible for the hallmark symptoms of vulvovaginal atrophy (VVA), namely dyspareunia secondary to vaginal dryness. Many postmenopausal women with VVA find sexual relations to be challenging or impossible. Ospemifene has estrogen-like effects on the vaginal epithelium, and is indicated to treat moderate-to-severe symptomatic VVA (Europe) or moderate-to-severe symptomatic dyspareunia and vaginal dryness (United States) in postmenopausal women. The case studies presented in this article follow the progress of two women who began treatment with ospemifene for the main presenting symptom of dyspareunia. Both women had concerns about the impact of their symptomatology on new relationships. The patient in case 1 experienced relevant improvement within 3 months of treatment start and, by 1 year, dyspareunia was absent. Vaginal lubricants were no longer required. The patient in case 2 experienced relevant improvement within 4 weeks of starting ospemifene. At 15 months, with the use of a lubricant for vaginal penetration, she could enjoy sexual intercourse without pain. At the time of writing, she had been receiving ospemifene continuously for more than 2 years with effective symptom relief and good tolerability.https://www.drugsincontext.com/experience-with-ospemifene-in-patients-with-vulvar-and-vaginal-atrophy-and-associated-sexual-dysfunction:-case-studies/ospemifenesexual dysfunctionvulvar and vaginal atrophy
spellingShingle Ana Rosa Jurado López
Francisca Molero Rodríguez
Experience with ospemifene in patients with vulvar and vaginal atrophy and associated sexual dysfunction: case studies
Drugs in Context
ospemifene
sexual dysfunction
vulvar and vaginal atrophy
title Experience with ospemifene in patients with vulvar and vaginal atrophy and associated sexual dysfunction: case studies
title_full Experience with ospemifene in patients with vulvar and vaginal atrophy and associated sexual dysfunction: case studies
title_fullStr Experience with ospemifene in patients with vulvar and vaginal atrophy and associated sexual dysfunction: case studies
title_full_unstemmed Experience with ospemifene in patients with vulvar and vaginal atrophy and associated sexual dysfunction: case studies
title_short Experience with ospemifene in patients with vulvar and vaginal atrophy and associated sexual dysfunction: case studies
title_sort experience with ospemifene in patients with vulvar and vaginal atrophy and associated sexual dysfunction case studies
topic ospemifene
sexual dysfunction
vulvar and vaginal atrophy
url https://www.drugsincontext.com/experience-with-ospemifene-in-patients-with-vulvar-and-vaginal-atrophy-and-associated-sexual-dysfunction:-case-studies/
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