Evaluation of ZP-025 vaginal gel in terms of efficacy and safety in the treatment of vaginal dryness in post-menopausal women with vaginal atrophy in comparison to a group of non-treated post-menopausal women with vaginal atrophy after 56 consecutive days and at 4-week follow-up only for women applying ZP-025 vaginal gel.

Evaluation of ZP-025 vaginal gel in terms of efficacy, tolerability and safety in the treatment of vaginal dryness in post-menopausal women with vaginal atrophy in comparison to a group of non-treated post-menopausal women with vaginal atrophy for 56 consecutive days.

This trial will be conducted in compliance with last version of Declaration of Helsinki, with GCP as applicable to investigations with IMD, with the applicable regulatory requirements and with CRO and Sponsor's SOPs.

This is a multi-centre, national, randomized, controlled vs. no-treatment, open label study The study will take place in 6 centers of menopause at public Hospitals/Universities. An ancillary study will be carried on for subjects randomized to ZP-025 group with a follow-up visit at 4 weeks

Inclusion Criteria:

• caucasian women <70 years, in physiological postmenopausal status for at least 2 years;
• women with signs and symptoms of vaginal atrophy (i. e. vaginal discomfort, itching, dyspareunia, dryness);
• signed informed consent; willing and able to comply with study procedures

Exclusion Criteria:

• childbearing potential women;
• ascertained or presumptive hypersensitivity to the formulation ingredients;
• therapy with systemic or vaginal oestrogens within 6 months from the inclusion;
• current urinary or vaginal infection (cultural positive result to vaginal or urines microbiological swab in the 7 days preceding inclusion);
• previous episodes of vaginal bleeding or spotting in the last 6 months;
• vaginal prolapse and any other disease that could interfere with the study conduction and participation

IPD should be requested to sposnor contacts