“…Menstrual and cervical secretions and semen act as alkalizing agents to increase the vaginal pH [26,27] Speed of rotation 0, 2.5, and 5 rpm The dynamic movement was added on the system by shaking and rotating from vertical to horizontal position at various speeds [28,29] Site of application 7.5, 10, and 15 cm The loaded position of IVS determines the time required to achieve the effective NO concentration at the application site [30] IVS intravaginal system (i.e., drug delivery system), SVS simulating vaginal system (i.e., simulated organ for in vitro study), VFS vaginal fluid stimulant (i.e., synthetic vaginal fluids) environment for a prolonged delivery of NO. Poly(D,Llactic acid-co-glycolic acid) (PLGA) microparticles (MP) or nanoparticles were selected as carrier vehicles for DETA NONOate, considering that PLGA or polymer combinations is biocompatible and widely used as a biodegradable polymer [11,38]. Polymers would prevent DETA NONOate from decomposition at acidic pH, releasing NO at the mucosal sites in a controlled manner.…”