Dyspareunia Clinical Trial
Official title:
Open-Label Pilot Prospective Vulvoscopy Photography Study of Visible Changes in the Vulva, Vestibule, Vagina Pre/Post 20 Weeks of Daily Administration 60 Mg Ospemifene in Post-Menopausal Women With Dyspareunia From Vulvar Vaginal Atrophy
This is an unblinded study to be conducted at a single research center, San Diego Sexual Medicine. Subjects meeting inclusion and exclusion criteria will receive 60 mg ospemifene daily for twenty weeks. After the informed consent is signed, a baseline physical examination, and vulvoscopy with detailed photography of the vulva, vestibule and vagina, will be performed. Physical examination and vulvoscopy with detailed photography of the vulva, vestibule and vagina, will be repeated prospectively every 4 weeks for a total of 20 weeks. Therefore, physical examination and vulvoscopy with detailed photography of the vulva, vestibule and vagina will be performed prospectively at baseline (vulvoscopy session 1), 4 weeks (vulvoscopy session 2), 8 weeks (vulvoscopy session 3), 12, weeks (vulvoscopy session 4), 16 weeks (vulvoscopy session 5) and 20 weeks (vulvoscopy session 6) following daily administration of 60 mg ospemifene.
Ospemifene is indicated for post-menopausal women diagnosed with vulvar vaginal atrophy (VVA)
and dyspareunia. While ospemifene clinically significantly reduces pain associated with
dyspareunia, there has been little prospective documentation using vulvoscopy with detailed
photography of the visible changes to the vulva, vestibule and vaginal region with daily
administration of 60 mg ospemifene in post-menopausal women with VVA and dyspareunia. This
study will include a total of 6 prospective photographic sessions of the vulva, vestibule and
vagina over the 20 weeks administration of 60 mg ospemifene in the study. Comparisons will be
made of baseline photography (vulvoscopy session 0) with photography at 4 weeks (vulvoscopy
session 1), 8 weeks (vulvoscopy session 2), 12 weeks (vulvoscopy session 3), 16 weeks
(vulvoscopy session 4) and 20 weeks (vulvoscopy session 5).
Currently there have been limited prospective studies using vulvoscopy with detailed
photography demonstrating visible changes to the vulva, vestibule and vagina following oral
administration of 60 mg ospemifene in post-menopausal women with VVA and dyspareunia.
Information regarding visible changes to the vulva, vestibule and vagina may be very
important to the patient and to the health care provider to best understand the beneficial
effects of ospemifene and to ensure patient compliance with treatment.
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