Improving Vaginal Health with a Zinc-Containing Vaginal Hydrogel

Vulvovaginal symptoms affect up to 39% of women. These symptoms have a significant impact on quality of life and are often linked to imbalances in the vaginal microbiota. This study evaluates the therapeutic efficacy of a zinc-containing hydroxyethyl cellulose-based hydrogel in 37 women with differe...

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Main Authors: Dávid Rátonyi, Barbara Kozma, Attila G. Sipos, Zoárd Tibor Krasznai, Bence Kozma, Peter Takacs
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Gels
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Online Access:https://www.mdpi.com/2310-2861/11/3/214
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author Dávid Rátonyi
Barbara Kozma
Attila G. Sipos
Zoárd Tibor Krasznai
Bence Kozma
Peter Takacs
author_facet Dávid Rátonyi
Barbara Kozma
Attila G. Sipos
Zoárd Tibor Krasznai
Bence Kozma
Peter Takacs
author_sort Dávid Rátonyi
collection DOAJ
description Vulvovaginal symptoms affect up to 39% of women. These symptoms have a significant impact on quality of life and are often linked to imbalances in the vaginal microbiota. This study evaluates the therapeutic efficacy of a zinc-containing hydroxyethyl cellulose-based hydrogel in 37 women with different vulvovaginal symptoms (itching, burning, irritation, pain, dryness, discharge, and odor). Over 12 weeks, participants applied the gel intravaginally with both assessments conducted at baseline and follow-ups. Results revealed substantial improvements in symptoms, including reductions in vaginal discharge, itching, and burning, as measured by the Vulvovaginal Symptom Questionnaire (VSQ-21), with scores decreasing from 10.78 ± 3.66 at baseline to 3.17 ± 4.16 at week 12 (<i>p</i> < 0.01). Vaginal Health Index (VHI) scores improved significantly, from 20.78 ± 1.74 at baseline to 23.64 ± 2.59 (<i>p</i> < 0.01). Cervicovaginal lavage (CVL) zinc levels decreased from 110 ± 102 µg/L at baseline to 62 ± 48 µg/L at week 4 (<i>p</i> < 0.01), increased to 80 ± 55 µg/L at week 8 (<i>p</i> = 0.04), and reached 99 ± 92 µg/L by week 12 (NS). A correlation analysis showed an inverse relationship between baseline CVL zinc levels and VSQ-21 scores (r = −0.3586, <i>p</i> = 0.034), while no significant correlation was observed with VHI scores (r = −0.0187, <i>p</i> = 0.9545). Vaginal pH levels decreased significantly, dropping from 4.03 ± 0.42 to 3.71 ± 0.48 (<i>p</i> < 0.01). These findings support the gel’s role as an effective, nonhormonal, drug-free, and local adjunct treatment for a variety of vulvovaginal symptoms.
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spelling doaj-art-e8cdc2ab46fd450f88415869e84d1e912025-08-20T03:43:03ZengMDPI AGGels2310-28612025-03-0111321410.3390/gels11030214Improving Vaginal Health with a Zinc-Containing Vaginal HydrogelDávid Rátonyi0Barbara Kozma1Attila G. Sipos2Zoárd Tibor Krasznai3Bence Kozma4Peter Takacs5Department of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Nagyerdei krt. 98., 4032 Debrecen, HungaryDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Nagyerdei krt. 98., 4032 Debrecen, HungaryDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Nagyerdei krt. 98., 4032 Debrecen, HungaryDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Nagyerdei krt. 98., 4032 Debrecen, HungaryDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Nagyerdei krt. 98., 4032 Debrecen, HungaryDivision of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, 825 Fairfax Avenue, Suite 526, Norfolk, VA 23507-2007, USAVulvovaginal symptoms affect up to 39% of women. These symptoms have a significant impact on quality of life and are often linked to imbalances in the vaginal microbiota. This study evaluates the therapeutic efficacy of a zinc-containing hydroxyethyl cellulose-based hydrogel in 37 women with different vulvovaginal symptoms (itching, burning, irritation, pain, dryness, discharge, and odor). Over 12 weeks, participants applied the gel intravaginally with both assessments conducted at baseline and follow-ups. Results revealed substantial improvements in symptoms, including reductions in vaginal discharge, itching, and burning, as measured by the Vulvovaginal Symptom Questionnaire (VSQ-21), with scores decreasing from 10.78 ± 3.66 at baseline to 3.17 ± 4.16 at week 12 (<i>p</i> < 0.01). Vaginal Health Index (VHI) scores improved significantly, from 20.78 ± 1.74 at baseline to 23.64 ± 2.59 (<i>p</i> < 0.01). Cervicovaginal lavage (CVL) zinc levels decreased from 110 ± 102 µg/L at baseline to 62 ± 48 µg/L at week 4 (<i>p</i> < 0.01), increased to 80 ± 55 µg/L at week 8 (<i>p</i> = 0.04), and reached 99 ± 92 µg/L by week 12 (NS). A correlation analysis showed an inverse relationship between baseline CVL zinc levels and VSQ-21 scores (r = −0.3586, <i>p</i> = 0.034), while no significant correlation was observed with VHI scores (r = −0.0187, <i>p</i> = 0.9545). Vaginal pH levels decreased significantly, dropping from 4.03 ± 0.42 to 3.71 ± 0.48 (<i>p</i> < 0.01). These findings support the gel’s role as an effective, nonhormonal, drug-free, and local adjunct treatment for a variety of vulvovaginal symptoms.https://www.mdpi.com/2310-2861/11/3/214zinc-containing hydrogelvulvovaginitisvaginal healthnon-hormonal treatmentlocal treatment
spellingShingle Dávid Rátonyi
Barbara Kozma
Attila G. Sipos
Zoárd Tibor Krasznai
Bence Kozma
Peter Takacs
Improving Vaginal Health with a Zinc-Containing Vaginal Hydrogel
Gels
zinc-containing hydrogel
vulvovaginitis
vaginal health
non-hormonal treatment
local treatment
title Improving Vaginal Health with a Zinc-Containing Vaginal Hydrogel
title_full Improving Vaginal Health with a Zinc-Containing Vaginal Hydrogel
title_fullStr Improving Vaginal Health with a Zinc-Containing Vaginal Hydrogel
title_full_unstemmed Improving Vaginal Health with a Zinc-Containing Vaginal Hydrogel
title_short Improving Vaginal Health with a Zinc-Containing Vaginal Hydrogel
title_sort improving vaginal health with a zinc containing vaginal hydrogel
topic zinc-containing hydrogel
vulvovaginitis
vaginal health
non-hormonal treatment
local treatment
url https://www.mdpi.com/2310-2861/11/3/214
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