Ultrasonographic and morphological studies of the postmenopausal endometrium using unopposed estrogen replacement therapy with regular pause: a prospective preliminary study

Ultrasonographic and morphological studies of the postmenopausal endometrium using unopposed estrogen replacement therapy with regular pause: a prospective preliminary study

Author Patriarca, M. T. Google Scholar
Lima, G. R. de Google Scholar
Stavale, J. N. Google Scholar
Goncalves, Wagner Jose Autor UNIFESP Google Scholar
Freitas, V Google Scholar
Soares, J. M. Google Scholar
Simoes, M. J. Google Scholar
Baracat, E. C. Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Hormone replacement therapy with progestogen is known to have severe side effects or complications in certain patients. Objective: the goal of this study is to evaluate the safety and efficacy of an alternative treatment regimen with a mensal pause using both transvaginal sonography (TVS) and endometrial biopsy to follow patients. Methods: A total of 30 postmenopausal women were treated with unopposed estrogen for 21 days each month followed by a regular pause of 9-10 days, and were studied prospectively for 18 months. the TVS measurements of endometrial thickness and biopsy of the endometrium were done on the 21 st day of treatment and the 7th day of the pause at 6-month intervals throughout the study. Results: There was a significant decrease of proliferative activity at all three time points during the study (6, 12 and 18 months) when tested on the 7th pause day (PD7). the percentage of patients with hyperplasia without nuclear atypia and endometrial thickness greater than or equal to8 mm was 32% at 6 months, but decreased to 22 and 19% at 12 and IS months, respectively. All cases of hyperplasia regressed after the hormonal pause throughout the treatment period. Conclusions: This study presents an alternative treatment regimen for select patients having side effects or complications from progestogen administration; however, studies evaluating the safety and efficacy of this regimen over longer time periods are necessary. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.
Keywords menopause
unopposed estrogen therapy
transvaginal sonography
endometrial thickness
endometrial morphology
Language English
Date 2001-09-01
Published in European Journal of Obstetrics Gynecology and Reproductive Biology. Clare: Elsevier Sci Ireland Ltd, v. 98, n. 1, p. 119-123, 2001.
ISSN 0301-2115 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 119-123
Origin http://dx.doi.org/10.1016/S0301-2115(01)00286-X
Access rights Closed access
Type Article
Web of Science ID WOS:000170851500022
URI http://repositorio.unifesp.br/handle/11600/26620

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