Hunt W L, Gabbay L, Potts M
YAMA, Inc., Millburn, NJ.
Contraception. 1994 Dec;50(6):551-61. doi: 10.1016/0010-7824(94)90013-2.
In this study the Lea's Shield was evaluated for its tolerance by women who wore the device for three consecutive days. Ten women who wore the Lea's Shield for 72 hours completed the tolerance study without adverse effects. Examination of the cervix and vagina revealed that the device did not provoke any significant cellular or microbial changes among the wearers. No major changes in the appearance or prevalence of vaginal flora occurred in the women after three days of wearing the device. A gradient in the pH could be detected between the contents of the vagina, which was more acidic than the contents of the bowl of the device. The range of cervical shapes and vaginal morphology among the study participants has had no influence upon the ability of the device to remain in its proper position. The device "settles in place" as it is pushed in, thereby obviating any special maneuvers for proper positioning. No vaginal nor cervical trauma occurred. We have concluded from these basic clinical evaluations that Lea's Shield is well tolerated during three days of use. Efficacy trials in women at risk recently completed have confirmed the high degree of acceptability and that the device can function adequately as one size fits all.
在本研究中,对连续三天佩戴利氏阴道屏障的女性进行了耐受性评估。十名佩戴利氏阴道屏障72小时的女性完成了耐受性研究,且未出现不良反应。对宫颈和阴道的检查显示,该装置在使用者中未引发任何显著的细胞或微生物变化。佩戴该装置三天后,女性阴道菌群的外观或流行情况未发生重大变化。在阴道内容物和装置碗部内容物之间可检测到pH梯度,阴道内容物的酸性比装置碗部内容物更强。研究参与者的宫颈形状和阴道形态范围对该装置保持在正确位置的能力没有影响。该装置在被推进时“就位固定”,从而无需任何特殊的定位操作。未发生阴道或宫颈创伤。我们从这些基础临床评估中得出结论,利氏阴道屏障在使用三天期间耐受性良好。最近完成的针对有风险女性的有效性试验证实了其高度可接受性,且该装置作为一种通用尺寸能充分发挥作用。