Ospemifene in clinical practice for vulvo-vaginal atrophy: results at 3 months of follow-up of use

Gynecol Endocrinol. 2021 Jun;37(6):562-566. doi: 10.1080/09513590.2020.1853695. Epub 2020 Dec 10.

Abstract

Objective: To assess the effect of ospemifene 60 mg/day in vulvovaginal atrophy (VVA) in postmenopausal women under conditions of routine clinical practice after 3 months of follow-up.

Methods: The AYSEX study is a Spanish observational, prospective, and unicentric study in which 5 gynecologists recruited postmenopausal women with VVA in routine clinical practice treated with ospemifene 60 mg/day as an appropriate therapeutic option. Vaginal health, sexual health, dryness, dyspareunia, quality of life, and satisfaction with treatment were assessed at baseline and after three months using validated scales.

Results: A total of 100 postmenopausal women cytologically and clinically diagnosed with VVA were included in the study. After 3 months of treatment with ospemifene, vaginal health index increased and vaginal pH, dryness, and dyspareunia decreased significantly (p < .0001). A significant improvement was observed in sexual function and quality of life.

Conclusions: This study in routine clinical practice conditions confirms the results previously reported by randomized controlled trials, including a significant improvement in VVA, sexual function, quality of life, and satisfaction with the treatment.

Keywords: Ospemifene; clinical practice; dryness; dyspareunia; quality of life; sexual function.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Aged
  • Atrophy / drug therapy
  • Atrophy / epidemiology
  • Dyspareunia / drug therapy
  • Dyspareunia / epidemiology
  • Female
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Personal Satisfaction
  • Postmenopause* / drug effects
  • Prospective Studies
  • Quality of Life
  • Spain / epidemiology
  • Tamoxifen / analogs & derivatives*
  • Tamoxifen / therapeutic use
  • Treatment Outcome
  • Vagina / drug effects
  • Vagina / pathology
  • Vaginal Diseases / drug therapy*
  • Vaginal Diseases / epidemiology
  • Vulva / drug effects
  • Vulva / pathology
  • Vulvar Diseases / drug therapy*
  • Vulvar Diseases / epidemiology

Substances

  • Tamoxifen
  • Ospemifene