Drug delivery strategies for management of women's health issues in the upper genital tract

Adv Drug Deliv Rev. 2021 Oct:177:113955. doi: 10.1016/j.addr.2021.113955. Epub 2021 Sep 1.

Abstract

The female upper genital tract (UGT) hosts important reproductive organs including the cervix, uterus, fallopian tubes, and ovaries. Several pathologies affect these organ systems such as infections, reproductive issues, structural abnormalities, cancer, and inflammatory diseases that could have significant impact on women's overall health. Effective disease management is constrained by the multifaceted nature of the UGT, complex anatomy and a dynamic physiological environment. Development of drug delivery strategies that can overcome mucosal and safety barriers are needed for effective disease management. This review introduces the anatomy, physiology, and mucosal properties of the UGT and describes drug delivery barriers, advances in drug delivery technologies, and opportunities available for new technologies that target the UGT.

Keywords: Exosomes; Mesenchymal stem cells; Nanosystems; Scaffolds; Upper genital tract.

Publication types

  • Review

MeSH terms

  • Animals
  • Drug Delivery Systems*
  • Female
  • Genital Diseases, Female / drug therapy*
  • Genitalia, Female / anatomy & histology
  • Genitalia, Female / metabolism
  • Humans
  • Mucous Membrane / metabolism
  • Women's Health