Evidence map›Paper›PMID 41065268›Full record

Trial reportInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026

Efficacy and safety of fractional microablative radiofrequency versus topical estriol in treating genitourinary syndrome of menopause: A pilot study.

Priscila de Almeida Torre, Susana Cristina Aidé Viviani Fialho, Isabel Cristina Chulvis do Val Guimarães, Ana Ximena Zunino, Tuani Castro, Caroline Alves de Oliveira Martins, Ana K Gonçalves

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Priscila de Almeida TorreDepartment of Obstetrics and Gynecology, Federal Fluminense University (UFF), Rio de Janeiro, RJ, Brazil.ORCID https://orcid.org/0000-0001-8350-5693
Susana Cristina Aidé Viviani FialhoDepartment of Obstetrics and Gynecology, Federal Fluminense University (UFF), Rio de Janeiro, RJ, Brazil.ORCID https://orcid.org/0000-0002-4212-0022
Isabel Cristina Chulvis do Val GuimarãesDepartment of Obstetrics and Gynecology, Federal Fluminense University (UFF), Rio de Janeiro, RJ, Brazil.
Ana Ximena ZuninoDepartment of Obstetrics and Gynecology, Federal Fluminense University (UFF), Rio de Janeiro, RJ, Brazil.
Tuani CastroDepartment of Obstetrics and Gynecology, Federal Fluminense University (UFF), Rio de Janeiro, RJ, Brazil.
Caroline Alves de Oliveira MartinsDepartment of Obstetrics and Gynecology, Federal Fluminense University (UFF), Rio de Janeiro, RJ, Brazil.
Ana K GonçalvesHealth Sciences Center, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil.ORCID https://orcid.org/0000-0002-8351-5119

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the efficacy and safety of fractional microablative radiofrequency (RF) and topical estriol in the treatment of genitourinary syndrome of menopause (GSM).

methodsThis pilot randomized controlled trial included 30 healthy postmenopausal women with GSM. Participants were randomly assigned to receive either fractional microablative RF plus placebo cream (RF group) or topical estriol plus sham RF (estriol group). Both treatments were administered over 3 months. Primary outcomes included vaginal health (Vaginal Health Index Score-VHIS), sexual function (Female Sexual Function Index-FSFI), and urinary symptoms (International Consultation on Incontinence Questionnaire-Short Form-ICIQ-SF). Safety was assessed through reports of adverse effects.

resultsBoth RF and estriol significantly improved VHIS, FSFI, and ICIQ-SF scores (p < 0.05). Estriol provided greater improvement in sexual desire, while RF demonstrated superior results in satisfaction, dyspareunia reduction, and epithelial elasticity. No severe adverse effects occurred; mild discomfort was reported in the RF group.

conclusionFractional microablative RF and topical estriol are both effective and safe for relieving GSM symptoms. RF offers a promising non-hormonal alternative, especially for women who cannot or choose not to use estrogen therapy.

Indexed as

EstriolFemale Urogenital DiseasesMenopauseAdministration, IntravaginalAdministration, TopicalDyspareuniaFemaleHumansMiddle AgedPilot ProjectsPostmenopauseSyndromeTreatment OutcomeVaginaEstriolestriolmenopauseradiofrequencytreatment

Identifiers

PMID41065268
PMCPMC12988376

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.