title: Resolution of subchorionic hematoma and symptoms of threatened miscarriage using vaginal alpha lipoic acid or progesterone: clinical evidences.
abstract: Alpha Lipoic Acid (ALA) is a safe natural molecule that exerts a selective immunomodulating activity with antioxidant and anti-inflammatory properties. This randomized controlled clinical trial (RCT) tested the effect of the vaginal administration with ALA or Progesterone, in subchorionic hematoma resorption in women with threatened miscarriage.
  
  
  
  400 mg of vaginal Progesterone or 10 mg of vaginal ALA were administered to sixty-two pregnant women, in the first trimester of gestation with threatened miscarriage and subchorionic hematoma. Controls were patients who chose not to receive any treatment.
  
  
  
  In the ALA group the subchorionic hematoma was reabsorbed more quickly in comparison with the progression detected in Progesterone group (p ≤ 0.05). The other parameters checked (pelvic pain and vaginal bleeding) did not show any significant difference and a smaller number of miscarriages was recorded in the ALA group, compared to Progesterone group.
  
  
  
  Our data provides the first evidence of the efficacy of ALA, administered by vaginal route, in the healing process of patients with threatened miscarriage, thus supporting the normal course of pregnancy.
  
  
  
  NCT02601898 (ClinicalTrials.gov registry).
authors.affiliation: Department of Chemistry and Pharmaceutical Technologies, University of Ferrara, Ferrara, Italy. kostin5893@yahoo.it.
authors.forename: M
authors.initials: M
authors.lastname: Costantino
authors.forename: C
authors.initials: C
authors.lastname: Guaraldi
authors.forename: D
authors.initials: D
authors.lastname: Costantino
mesh_terms: D000022:Abortion, Spontaneous; D000033:Abortion, Threatened / Q000517:prevention & control*; D005260:Female; D006406:Hematoma; D006801:Humans; D011247:Pregnancy; D011374:Progesterone / Q000627:therapeutic use*; D008063:Thioctic Acid / Q000627:therapeutic use*
chemical_list: D011374:Progesterone; D008063:Thioctic Acid