[Skip to Content]
[Skip to Content Landing]
Views 56
Citations 0
Comment & Response
August 2018

Good Clinical Practice in Diagnosis of Vulvovaginal Symptoms

Author Affiliations
  • 1Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel
  • 2Wayne State University, School of Medicine, Detroit, Michigan
JAMA Intern Med. 2018;178(8):1135-1136. doi:10.1001/jamainternmed.2018.2872

To the Editor We read with great interest the recent report by Mitchell and colleagues regarding the efficacy of topical low-dose vaginal estrogen vs topical vaginal moisturizer or placebo for treating postmenopausal vulvovaginal symptoms.1(p681) We are concerned with the authors’ conclusion that “…neither prescribed vaginal estradiol tablet nor over-the-counter vaginal moisturizer provides additional benefit over placebo vaginal tablet and gel in reducing postmenopausal vulvovaginal symptoms.”1

First Page Preview View Large
First page PDF preview
First page PDF preview
Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Limit 140 characters
Limit 3600 characters or approximately 600 words