About this trial
The goal of this clinical trial is to learn if vibratory genital nerve stimulation (vGNS) can improve sexual function in women with spinal cord injury. The main question it aims to answer is:
Does acute vGNS increase genital blood flow during a standardized sexual arousal assessment, as measured by laser speckle contrast imaging?
Participants will:
Complete a baseline in-clinic visit including two sexual arousal assessments with a vGNS session in between, while genital blood flow is measured using a non-invasive imaging device
Use a vibration device at home twice weekly for 12 weeks
Complete questionnaires about sexual function at baseline, during the home phase, and at a 12-week follow-up visit
Attend a follow-up in-clinic visit repeating the baseline assessments
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Be cisgender women aged 18 to 65 years (current study is scoped specifically to cisgender female anatomy)
Have a chronic (> 1 year) spinal cord injury
Self-report impaired sexual function (e.g., arousal, lubrication, orgasm)
Be sexually active or report a desire for sexual activity
Disqualifiers
Are currently pregnant or attempting to become pregnant
Have a history of autonomic dysreflexia (AD) triggered by sexual activity or genital stimulation
Have undergone pelvic reconstructive surgery
Report being unable to independently position and operate the Lioness device due to motor or anatomical limitations
Trial design
Single group
Treatments tested in this trial
Vibratory genital nerve stimulation
DevicevGNS will be administered in this study via the Lioness vibrator
Treatment groups
Trial outcomes
Primary outcomes
Change in genital blood perfusion during acute vibratory genital nerve stimulation (vGNS)
Change in LSCI-measured genital blood perfusion during a standardized psychogenic sexual arousal assessment (PSAA) before and after an in-clinic vGNS block in women with spinal cord injury.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Samuel Cramer
Lead sponsor
Hennepin Healthcare Research Institute
Sponsor institution