Document Detail


Use of GnRH depot analogue in the treatment of uterine fibroids.
MedLine Citation:
PMID:  2150737     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twelve patients with symptomatic uterine fibroid were treated with Goserelin acetate, a depot Gn-RH analogue administered s.c. in a dosage of 3.6 mg every 28 days for a 6 month period. Mean age of the patients was 39 (26-47). A menopausal-like state, evidenced by hot flushes, depression, vaginal dryness, hysteroscopic endometrial atrophy, and hormonal values (FSH, LH, E2), was seen in all patients. After only two months of treatment, a significant reduction was noted in the size of the fibroid, being even greater than that in the following four months. Only one patient in the series underwent surgery. General tolerability of the drug was optimal. These data suggest the efficiency of this type of treatment in obtaining a significant reduction of fibroid volume as well as subjective symptomatology. The cost-benefit ratio is optimal, allowing postponement of surgery and the possibility of vaginal, as opposed to abdominal, hysterectomy and affronting problems of anaesthesiology and post-operative recovery for patients "at risk".
Authors:
G Auber; G Ricci; F Barciulli; R Pregazzi; R L D'Ancona; F G Toffoletti
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta Europaea fertilitatis     Volume:  21     ISSN:  0587-2421     ISO Abbreviation:  Acta Eur. Fertil.     Publication Date:    1990 Jul-Aug
Date Detail:
Created Date:  1991-05-16     Completed Date:  1991-05-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  1300660     Medline TA:  Acta Eur Fertil     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  185-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Trieste, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Amino Acid Sequence
Buserelin / adverse effects,  analogs & derivatives*,  pharmacokinetics,  therapeutic use
Estradiol / blood
Female
Follicle Stimulating Hormone / blood
Gonadotropin-Releasing Hormone / analogs & derivatives
Goserelin
Humans
Injections, Subcutaneous
Luteinizing Hormone / blood
Middle Aged
Molecular Sequence Data
Ovary / drug effects
Pituitary Gland / drug effects
Progesterone / blood
Prolactin / blood
Thyroxine / blood
Triiodothyronine / blood
Uterine Neoplasms / drug therapy*,  metabolism,  pathology
Uterus / pathology
Chemical
Reg. No./Substance:
33515-09-2/Gonadotropin-Releasing Hormone; 50-28-2/Estradiol; 57-83-0/Progesterone; 57982-77-1/Buserelin; 65807-02-5/Goserelin; 6893-02-3/Triiodothyronine; 7488-70-2/Thyroxine; 9002-62-4/Prolactin; 9002-67-9/Luteinizing Hormone; 9002-68-0/Follicle Stimulating Hormone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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