First-line Therapy
All patients from both groups were instructed to use the FLT, which was supplied to every participant during the study. This therapy included a hormone-free moisturizer containing hyaluronic acid (Cerviron; CumLaude Lab) to be used every 3 days, a daily external vaginal hormone-free moisturizer (Lubripiu; CumLaude Lab), and a vaginal vibrator (Meditinum; BCNatal) to be used 2 times per week for 5 to 10 minutes each with the help of intimate lubricant (Mucus). A personal calendar was given to each patient in which they recorded every use of the moisturizer, the vaginal vibrator, and each sexual relation practiced. Additionally, specialized sexual assessment was also offered as an optional visit based on the PLISSIT (Permission, Limited Information, Specific Suggestions, and Intensive Therapy) model.