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Objective: Sildenafil citrate (SC) could promote uterine lining development, leading to successful embryo implantation. Due to the low oral bioavailability of the first-pass elimination of SC, it is necessary to develop a gel for vaginal administration to improve the efficacy.
Methods: A vaginal gel was prepared using the cold method to increase the retention of SC in the uterus, which allows for prolonged contact between SC and the vaginal mucosa. A poloxamer-based thermosensitive gel containing SC (SC-Tsgel) and an HPMC-based standard gel containing SC (SC-Cogel) were prepared. The rheological properties, drug release, and retention in the uterus of SC-Tsgel and SC-Cogel were compared.
Results: The gel formulations significantly prolonged the time it took for drugs to be released following a release study. SC-Tsgel and SC-Cogel administered vaginally increased the duration of drug administration compared to SC solutions injected through the tail vein. Nevertheless, compared with tail vein injection of SC solutions or vaginal administration of the SC-Cogel, the retention of SC in the uterus was increased significantly after vaginal administration of the SC-Tsgel.
Conclusions: Novel formulations of SC prepared with poloxamer 407 show promise as vaginal medication preparations for the management of a thin endometrium.
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http://dx.doi.org/10.1080/1061186X.2025.2546491 | DOI Listing |
Cureus
July 2025
Obstetrics and Gynecology, Narendra Kumar Prasadrao (NKP) Salve Institute of Medical Sciences and Research Centre, Lata Mangeshkar Hospital, Nagpur, IND.
Cervical fibroids are rare and account for a small percentage of uterine leiomyomas. A 34-year-old woman visited the department of obstetrics and gynaecology with chief complaints of fever with chills and burning micturition for three days. She also complained of urinary retention for one month, along with post-coital and intermenstrual bleeding.
View Article and Find Full Text PDFEnviron Pollut
August 2025
Department of Environmental Health, School of Public Health, Center for Ecological Public Health Security of Yellow River Basin, Shanxi Key Laboratory of Environmental Health Impairment and Prevention, MOE Key Laboratory of Coal Environmental Pathogenicity and Prevention, Shanxi Medical University,
Bisphenol AF (BPAF), a substitute for bisphenol A (BPA), is frequently found in the environment and daily necessities and has garnered significant attention due to its endocrine-disrupting effects. Uterus is a potential target of BPA while more evidences about BPAF are needed, especially at human-relevant levels. The aim of this study was to determine the effects of BPAF exposure with realistic human exposure pathway and dosage on the uterus, as well as to explore its molecular mechanisms through transcriptome sequencing (RNA-seq) and alternative splicing (AS) analysis.
View Article and Find Full Text PDFInt J Surg Case Rep
September 2025
Department of Anatomical Pathology, Faculty of Medicine, Universitas Padjajaran - Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia.
Introduction And Importance: Yolk sac tumor (YST) is a rare germ cell malignancies that occasionally emerge in unexpected extragonadal sites, complicating early recognition and diagnosis. When arising in the vagina, YST may present with misleading symptoms and delayed recognition, given its rarity and concealed anatomical site.
Case Presentation: We present a case of vaginal YST involving a one-year-old girl who presented with prolonged vaginal bleeding and urinary retention.
J Drug Target
August 2025
Department of Pharmaceutics, School of Pharmacy, Harbin Medical University, Harbin, P. R. China.
Objective: Sildenafil citrate (SC) could promote uterine lining development, leading to successful embryo implantation. Due to the low oral bioavailability of the first-pass elimination of SC, it is necessary to develop a gel for vaginal administration to improve the efficacy.
Methods: A vaginal gel was prepared using the cold method to increase the retention of SC in the uterus, which allows for prolonged contact between SC and the vaginal mucosa.
Med Int (Lond)
July 2025
Department of Obstetrics and Gynecology, General Hospital of Trikala, 42100 Trikala, Greece.
The present case report describes the successful surgical treatment of a rare case of a giant cervical leiomyoma of the uterus associated with bilateral ureterohydronephrosis and the formation of a retroperitoneal perinephric urinoma in the left kidney. A 51-year-old patient presented with urinary retention, constipation, and lower abdominal pain radiating mainly to the lumbar region. A clinical examination revealed a small amount of vaginal bleeding, with the uterine fundus palpable ~2 cm below the navel.
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