Evidence mapPaperPMID 39315501Full record

ArticleJournal of menopausal medicine2024

Efficacy and Safety of Intravaginal Estrogen in the Treatment of Atrophic Vaginitis: A Systematic Review and Meta-Analysis.

Abraish Ali, Aliha Iftikhar, Muzainah Tabassum, Rayaan Imran, Muhammad Usama Shaid, Mahnoor Rehan Hashmi, Muhammad Saad, Mahnoor Humayun, Sidra Imtiaz, Eesha Baig

Abstract read
In one paragraph

Article in Journal of menopausal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Abraish AliDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Aliha IftikharDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.
Muzainah TabassumDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.
Rayaan ImranDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan. rayaanimran2002@gmail.com.ORCID https://orcid.org/0000-0003-3326-7142
Muhammad Usama ShaidDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Mahnoor Rehan HashmiDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Muhammad SaadDepartment of Medicine, Ameer-ud-Din Medical College, Lahore, Pakistan.
Mahnoor HumayunDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Sidra ImtiazDepartment of Medicine, Karachi Medical and Dental College, Karachi, Pakistan.
Eesha BaigDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPostmenopausal females often experience genitourinary symptoms like vulvovaginal dryness due to estrogen decline. Hormone replacement therapy is effective in alleviating vaginal atrophy and genitourinary syndrome in this population. Evaluate local estrogen's safety and effectiveness for alleviating postmenopausal vaginal symptoms, including endometrial thickness, dyspareunia, vaginal pH, and dryness.

methodsWe searched Google Scholar, Cochrane Library, ClinicalTrial.Gov, PubMed, and ScienceDirect databases until July 2023. All randomized controlled trials (RCTs) linking intravaginal estrogen supplementation to vaginal atrophy or vaginitis were included. The risk of bias was evaluated with RoB 2, and publication bias was assessed using Egger and Beggs analysis.

resultsAll evidence pertains to females. Eighteen studies (n = 4,723) compared estrogen with placebo. Patients using estrogen showed a significant increase in superficial cells (mean differences [MD]: 19.28; 95% confidence intervals [CI]: 13.40 to 25.16; I² = 90%;

conclusionsOur meta-analysis of 18 RCTs suggests promising potential for intravaginal estrogen therapy in alleviating vaginal atrophy and vaginitis in postmenopausal females.

Indexed as

EstradiolMaturation valuePostmenopausal womenVaginal atrophyVaginal pH

Identifiers

PMID39315501
PMCPMC11439571

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.