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. 2014 Jun 8;8:23–30. doi: 10.4137/CMRH.S14498

Table 3.

Concerns and dislikes of current treatments for VVA.

TOP CONCERNS AND DISLIKES REGARDING CURRENTLY AVAILABLE TREATMENTS FOR VULVAR AND VAGINAL ATROPHY
OTC LUBRICANTS OR MOISTURIZERS (n = 1227) VAGINAL ESTROGEN (n = 409) NEVER USED OTC LUBRICANTS OR MOISTURIZERS OR VAGINAL ESTROGEN (n = 788)
Messiness (43%) Long-term safety (41%) Symptoms not bothersome enough (44%)
Vagina not restored to natural (39%) Vagina not restored to natural (36%) Assumed symptoms would go away (30%)
Lack of symptom relief (28%) Concerns regarding hormone exposure (35%) Concerns regarding side effects (28%)
Loss of sexual spontaneity (23%) Cost (31%) Lack of symptom relief (23%)
Issues of administration (23%) Concerns regarding breast cancer (29%) Issues of administration (21%)
Inconvenience (17%) Risk of side effects (26%) Inconvenience (17%)
Lack of privacy (11%) Lack of symptom relief (23%) Concerns regarding hormone exposure (16%)
Vaginal discharge (10%) Issues of administration (21%) Risk of side effects (13%)
Vaginal delivery (9%) Messiness (19%) Concerns regarding breast cancer (10%)
Cost (8%) Inconvenience (18%) Messiness (7%)