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Comparing the effects of Calendula officinalis and clotrimazole on vaginal Candidiasis: A randomized controlled trial.

Abstract
This triple-blind trial examined the effects of Calendula officinalis vaginal cream on the treatment of vaginal Candidiasis (primary outcome) and sexual function (secondary outcome). Married women aged 18-45 years with vaginal Candidiasis (n = 150) were recruited from April to October 2014 and randomized into Calendula and clotrimazole groups, using 5-g vaginal cream every night for seven nights. Clinical and laboratory assessments were conducted at 10-15 and 30-35 days after intervention and the female sexual function index was assessed at 30-35 days. Six women were lost to follow-up. The frequency of testing negative for Candidiasis in the Calendula group was significantly lower at the first (49% vs. 74%; odds ratio (OR) 0.32; 95% confidence interval (CI) 0.16-0.67) but higher at the second (77% vs. 34%; OR 3.1; 95% CI 1.5-6.2) follow-up compared to the clotrimazole group. The frequency of most signs and symptoms were almost equal in the two groups at the first follow-up, but were significantly lower in the Calendula group at the second follow-up. Sexual function had almost equal significant improvement in both groups. Calendula vaginal cream appears to have been effective in the treatment of vaginal Candidiasis and to have a delayed but greater long-term effect compared to clotrimazole.
AuthorsElnaz Saffari, Sakineh Mohammad-Alizadeh-Charandabi, Mohammad Adibpour, Mojgan Mirghafourvand, Yousef Javadzadeh
JournalWomen & health (Women Health) 2017 Nov-Dec Vol. 57 Issue 10 Pg. 1145-1160 ISSN: 1541-0331 [Electronic] United States
PMID27880086 (Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Chemical References
  • Plant Extracts
  • Vaginal Creams, Foams, and Jellies
  • Clotrimazole
Topics
  • Administration, Intravaginal
  • Adolescent
  • Adult
  • Calendula (adverse effects)
  • Candidiasis, Vulvovaginal (diagnosis, drug therapy)
  • Clotrimazole (administration & dosage)
  • Female
  • Humans
  • Middle Aged
  • Plant Extracts
  • Treatment Outcome
  • Vaginal Creams, Foams, and Jellies (administration & dosage)
  • Young Adult

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