Treatment of hirsutism with combined pill containing drospirenone

被引:12
作者
Gregoriou, Odisseas [1 ]
Papadias, Kostantinos [1 ]
Konidaris, Sokratis [1 ]
Bakalianou, Kostantina [1 ]
Salakos, Nikolaos [1 ]
Vrachnis, Nikolaos [1 ]
Creatsas, George [1 ]
机构
[1] Univ Athens, Sch Med, Aretaie Hosp, Dept Obstet & Gynecol 2, Athens 11528, Greece
关键词
hirsutism; hyperandrogenism; drospirenone; ethinyl estradiol; combined oral contraceptive;
D O I
10.1080/09513590801948309
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of the present study was to evaluate the biochemical and clinical effects of the combined pill consisting of ethinyl estradiol (EE) and drospirenone (DRSP) in hirsute patients. Fifty-two adolescents or young women from Greece were treated with 30 mu g EE and 3 mg DRSP for I year. Hirsutism was evaluated by the Ferriman-Gallway (FG) score in the initial visit and at 3, 6 and 12 months. Follicle-stimulating hormone, luteinizing hormone, etradiol, free and total testosterone (T), sex hormone-binding globulin (SHBG), androstenedione and dehydroepiandrosterone sulfate were determined at the same intervals. Hirsutism improved and FG scores reduced to 77.4%, 67.2% and 51.8% at 3, 6 and 12 months, respectively. Plasma SHBG levels rose, while free and total T levels reduced from the third month onwards. In conclusion, the EE/DRSP pill improves hirsutism in women via antiandrogenic and antimineralocorticoid action. The biochemical manifestations of hyperandrogenism are also improved.
引用
收藏
页码:220 / 223
页数:4
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