The Food and Drug Administration (FDA) has approved Intrarosa (prasterone; Endoceutics) for the treatment of women experiencing moderate to severe dyspareunia, a symptom of vulvar and vaginal atrophy, due to menopause

Intrarosa, a once-daily vaginal insert, is the first approved drug containing prasterone, also known as dehydroepiandrosterone (DHEA).  

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The efficacy of Intrarosa was established in two 12-week placebo-controlled trials (n=406) of healthy postmenopausal women aged 40–80 years. They cited moderate to severe pain during sexual intercourse as the most bothersome symptom of vulvar and vaginal atrophy. Study participants were randomized to either Intrarosa or a placebo vaginal insert. Women who received Intrarosa had a reduced severity of pain experienced during sexual intercourse compared to the placebo group. 

The safety of Intrarosa was established in four 12-week placebo-controlled trials and one 52-week open-label trial. Vaginal discharge and abnormal Pap smear were reported as the most common adverse reactions. 

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