“…To date, diethylenetriamine diazeniumdiolate (DETA NONOate) and S-nitrosoglutathione (GSNO) have been widely used as NO donors since they spontaneously release two equivalents of NO at a reliable first-order rate through the hydrolysis process [51]. Since the decomposition of DETA NONOate or GSNO is nearly instantaneous at pH of 5.0 or less, the NO donor should be stabilized under acidic Drug concentrations in IVS 10 −9 -10 −6 mol/L The concentrations of drug within 2 min of initial application define the minimum effective concentration for cell migration [21,22] Loading weight of IVS 1.5, 3.0, and 4.5 g The loading weight of IVS determines the volume effects of IVS on the drug release rate [23] Flow rate of VFS 3, 4, and 5 ml/h The flow rate of VFS reflects the physiological secretion rate (30-60 mg/day) of vaginal mucus at the different phases of the menstrual cycle [24,25] pH of VFS 4.0, 5.5, and 7.4 Normal pH range of vaginal secretion is 3.0∼5.5. 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.…”