What is VVA/GSM?

Please take a few minutes to answer this brief CONFIDENTIAL survey.
Your feedback will be valuable in developing new products to meet menopausal women's health needs.
1.Are you currently menopausal (have not had a menstrual period for 12 consecutive months) or postmenopausal (including surgically menopausal)?
2.Are you experiencing any of the following symptoms? Check all that apply.(Required.)
3.Are you using any of the following treatments to alleviate any of the above symptoms? Check all that apply.(Required.)
4.VulvoVaginal Atrophy (VVA) is a condition that results in the thinning of the walls of the vagina caused by decreased estrogen levels. For many women vaginal atrophy not only makes intercourse painful but also can lead to distressing urinary symptoms.

Have any of your doctors ever initiated a conversation about VVA, symptoms or treatment options?
(Required.)
5.Low dose, vaginally inserted estrogens are available to treat VVA. Are you willing to use a vaginal estrogen?(Required.)
6.If you are not willing to use a vaginal estrogen, why not? Check all that apply.
7.These vaginally inserted estrogens (Estrace or Premarin cream,  Estring ring, Vagifem tablet suppository, IMVEXXY, Intrarosa) carry a warning label for endometrial and breast cancer, blood clots and dementia. 

Knowing that vaginal estrogen products contain this warning, would you use them?
(Required.)
8.There is another class of products which is NON-estrogen.  This class is known as Selective Estrogen Receptor Modulators(SERM).  Some SERMS such as Nolvadex (tamoxifen) and Evista (raloxifene) in their oral form have been proven to reduce the risk of breast cancer. Some SERMS are being developed to treat VVA.

The expected profile for a proposed vaginally delivered VVA SERM is:
  • Effective in treating VVA and its symptoms 
  • No warnings on label for increased risk of breast cancer or endometrial cancer
If you are experiencing VVA symptoms would you take or switch to this product when available?
(Required.)
9.If you were willing to use a vaginal insert, which dosing would you prefer?
10.Are you a breast cancer survivor or at high risk? Check all that apply.(Required.)