Evidence mapPaperPMID 41415710Full record

Trial reportRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2025

Randomized clinical trial of vaginal microbiota in menopausal genitourinary syndrome using radiofrequency and topical estriol.

Ana Ximena Zunino, Priscila de Almeida Torre, Susana Cristina Aidé Viviani, Isabel Cristina Chulvis do Val Guimarães, Caroline Alves de Oliveira Martins, Douglas Guedes Ferreira, Luiza Oliveira Ribeiro, Faustino Ramón Pérez-López

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Ana Ximena ZuninoUniversidade Federal Fluminense NiteroiRJ Brazil Universidade Federal Fluminense, Niteroi, RJ, Brazil.ORCID https://orcid.org/0000-0002-8282-4200
Priscila de Almeida TorreUniversidade Federal Fluminense NiteroiRJ Brazil Universidade Federal Fluminense, Niteroi, RJ, Brazil.ORCID https://orcid.org/0000-0001-8350-5693
Susana Cristina Aidé VivianiUniversidade Federal Fluminense NiteroiRJ Brazil Universidade Federal Fluminense, Niteroi, RJ, Brazil.ORCID https://orcid.org/0000-0002-4609-4140
Isabel Cristina Chulvis do Val GuimarãesUniversidade Federal Fluminense NiteroiRJ Brazil Universidade Federal Fluminense, Niteroi, RJ, Brazil.ORCID https://orcid.org/0000-0002-9885-2724
Caroline Alves de Oliveira MartinsUniversidade Federal Fluminense NiteroiRJ Brazil Universidade Federal Fluminense, Niteroi, RJ, Brazil.ORCID https://orcid.org/0000-0002-7207-7969
Douglas Guedes FerreiraUniversidade Federal Fluminense NiteroiRJ Brazil Universidade Federal Fluminense, Niteroi, RJ, Brazil.ORCID https://orcid.org/0000-0002-9610-5100
Luiza Oliveira RibeiroUniversidade Federal Fluminense NiteroiRJ Brazil Universidade Federal Fluminense, Niteroi, RJ, Brazil.ORCID https://orcid.org/0009-0009-7355-9378
Faustino Ramón Pérez-LópezUniversidade De Medicina da Zaragoza Zaragoza Spain Universidade De Medicina da Zaragoza, Zaragoza, Spain.ORCID https://orcid.org/0000-0002-2801-416X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To analyze the vaginal microbiota before and after the treatment with vaginal microablative fractional radiofrequency (FRAXX) and compare it with topical estriol treatment in women with GMS. Methods: Pilot clinical trial, double-blind, randomized, and placebo-controlled. Thirty women diagnosed with SGM were evaluated regarding the vaginal microbiota before and one month after the end of the treatment protocol, through culture, bacterioscopy by Gram and pHmetry. Then, they were randomized into two groups: one with application of topical estriol for 21 days of attack and then 3 times a week until completing 3 months, together with placebo radiofrequency (RF) pulses, and the other group, with monthly radiofrequency pulses for 3 months, together with placebo vaginal cream. Results: The average age of participants was 56.33 ± 7.10 (minimum 42 and maximum 69 years of age), average age at onset of menopause 44.70 ± 5.74. In the estriol group, the participants showed no significant difference after treatment in relation to the number of basal and parabasal cells (p = 1.000), type of vaginal microbiota (p = 0.544), presence (or absence) of Conclusion: There was improvement in the parameters analyzed regarding the vaginal microbiota in the intervention with FRAXX with a higher proportion of

Indexed as

EstriolMenopauseMicrobiotaRadiofrequency TherapyVaginaAdministration, IntravaginalAdultAgedDouble-Blind MethodFemaleHumansMiddle AgedPilot ProjectsSyndromeEstriolAtrophic vaginitisEstrogen replacement therapyRadiofrequency ablation

Identifiers

PMID41415710
PMCPMC12711237

What Socratic holds

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Registered trials

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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.