Vaginal microbiota and genitourinary syndrome of menopause in premenopausal breast cancer patients receiving endocrine therapy: a longitudinal cohort study protocol - Takeaways - MDSpire

Vaginal microbiota and genitourinary syndrome of menopause in premenopausal breast cancer patients receiving endocrine therapy: a longitudinal cohort study protocol

  • By

  • Fangfang Chen

  • Zhiyuan Bo

  • Yangfan Fan

  • Yizhou Huang

  • Yiding Chen

  • Fang Wan

  • June 15, 2026

  • 0 min

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  • 1

    Endocrine therapy for hormone receptor-positive breast cancer in premenopausal women often induces genitourinary syndrome of menopause (GSM) due to hypoestrogenism.

  • 2

    The study aims to assess the effects of endocrine therapy on vaginal microbiome diversity and dominant taxa in breast cancer survivors.

  • 3

    A total of 110 premenopausal women will be enrolled and allocated to receive either ovarian function suppression with aromatase inhibitors or tamoxifen.

  • 4

    Vaginal swabs will be collected at multiple time points for microbiome analysis, alongside assessments of GSM symptoms and vaginal health.

  • 5

    The study seeks to reveal mechanisms of GSM and inform personalized interventions through the integration of molecular and clinical data.

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