The human vagina represents a potential, accessible space that offers a val
uable route for drug delivery through die use of specifically designed carr
ier systems for both local and systemic applications. Intravaginal drug del
ivery is particularly appropriate for drugs associated with women's health
issues but may also have applications in general drug delivery within the f
emale population. A range of drug delivery platforms suitable for intravagi
nal administration are discussed in this review, including hydrogels, vagin
al tablets, pessaries/suppositories, particulate systems, and intravaginal
rings. Drug release mechanisms and absorption pathways are reviewed with re
spect to a range of therapeutic and prophylactic indications for intravagin
al delivery.