Safety and efficacy of low-dose esterified estrogens and methyltestosterone, alone or combined, for the treatment of hot flashes in menopausal women: a randomized, double-blind, placebo-controlled study

被引:6
作者
Liu, James [1 ]
Allgood, Adam [2 ]
Derogatis, Leonard R. [3 ]
Swanson, Stephen [4 ]
O'Mahony, Michael [5 ]
Nedoss, Bertrand [6 ]
Soper, Herbert [7 ]
Zbella, Edward [8 ]
Prokofieva, Svetlana Vladimirovna [9 ]
Zipfel, Lisa [2 ]
Guo, Chun-Yuan [2 ]
机构
[1] Case Western Reserve Univ, Sch Med, MacDonald Womens Hosp, Case Med Ctr, Cleveland, OH USA
[2] Abbott, Marietta, GA USA
[3] Ctr Sexual Med Sheppard Pratt, Baltimore, MD USA
[4] Womens Clin Lincoln PC, Lincoln, NE USA
[5] London Rd Diagnost Clin, Sarnia, ON, Canada
[6] Radiant Res, Tucson, AZ USA
[7] Piedmont Med Res, Winston Salem, NC USA
[8] Womens Med Res Grp LLC, Clearwater, FL USA
[9] Fed Med Biol Agcy Russia, Moscow, Russia
关键词
Postmenopausal women; vasomotor symptoms; hot flashes; hormone replacement therapy; esterified estrogens (EE); methyltestosterone (MT); lowest effective dose; POSTMENOPAUSAL WOMEN; CONTROLLED-TRIAL; HUMAN AROMATASE; BREAST-CANCER; ANDROGEN; THERAPY; HEALTH; ENDOCRINE; PROFILES; SYMPTOMS;
D O I
10.1016/j.fertnstert.2010.08.005
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
This study evaluated safety and efficacy of esterified estrogens and methyltestosterone administered alone or in combination for the treatment of hot flashes in menopausal women. The 0.30-mg esterified estrogens and 0.30-mg methyltestosterone combination was the lowest effective dose, and our results are consistent with the known safety profile of estrogen and androgen combination products. (Fertil Steril (R) 2011; 95:366-8. (c) 2011 by American Society for Reproductive Medicine.)
引用
收藏
页码:366 / 368
页数:3
相关论文
共 16 条
[1]   Esterified estrogens combined with methyltestosterone improve emotional well-being in postmenopausal women with chest pain and normal coronary angiograms [J].
Adamson, DL ;
Webb, CM ;
Collins, P .
MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY, 2001, 8 (04) :233-238
[2]   Effects of conjugated, equine estrogen in postmenopausal women with hysterectomy - The women's health initiative randomized controlled trial [J].
Anderson, GL ;
Limacher, M ;
Assaf, AR ;
Bassford, T ;
Beresford, SAA ;
Black, H ;
Bonds, D ;
Brunner, R ;
Brzyski, R ;
Caan, B ;
Chlebowski, R ;
Curb, D ;
Gass, M ;
Hays, J ;
Heiss, G ;
Hendrix, S ;
Howard, BV ;
Hsia, J ;
Hubbell, A ;
Jackson, R ;
Johnson, KC ;
Judd, H ;
Kotchen, JM ;
Kuller, L ;
LaCroix, AZ ;
Lane, D ;
Langer, RD ;
Lasser, N ;
Lewis, CE ;
Manson, J ;
Margolis, K ;
Ockene, J ;
O'Sullivan, MJ ;
Phillips, L ;
Prentice, RL ;
Ritenbaugh, C ;
Robbins, J ;
Rossouw, JE ;
Sarto, G ;
Stefanick, ML ;
Van Horn, L ;
Wactawski-Wende, J ;
Wallace, R ;
Wassertheil-Smoller, S .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 291 (14) :1701-1712
[3]   Efficacy and safety of low-dose regimens of conjugated estrogens cream administered vaginally [J].
Bachmann, Gloria ;
Bouchard, Celine ;
Hoppe, Diana ;
Ranganath, Radhika ;
Altomare, Corrado ;
Vieweg, Alberta ;
Graepel, Jay ;
Helzner, Eileen .
MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY, 2009, 16 (04) :719-727
[4]   Tibolone is not converted by human aromatase to 7α-methyl-17α-ethynylestradiol (7α-MEE):: Analyses with sensitive bioassays for estrogens and androgens and with LC-MSMS [J].
de Gooyer, ME ;
Oppers-Tiemissen, HM ;
Leysen, D ;
Verheul, HAM ;
Kloosterboer, HJ .
STEROIDS, 2003, 68 (03) :235-243
[5]   A cohort study of topical vaginal estrogen therapy in women previously treated for breast cancer [J].
Dew, JE ;
Wren, BG ;
Eden, JA .
CLIMACTERIC, 2003, 6 (01) :45-52
[6]   Twice-weekly synthetic conjugated estrogens vaginal cream for the treatment of vaginal atrophy [J].
Freedman, Murray ;
Kaunitz, Andrew M. ;
Reape, Kathleen Z. ;
Hait, Howard ;
Shu, Haibin .
MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY, 2009, 16 (04) :735-741
[7]   Molecular basis for the interaction of four different classes of substrates and inhibitors with human aromatase [J].
Hong, Yanyan ;
Cho, Michael ;
Yuan, Yate-Ching ;
Chen, Shiuan .
BIOCHEMICAL PHARMACOLOGY, 2008, 75 (05) :1161-1169
[8]   Endocrine and intracrine sources of androgens in women:: Inhibition of breast cancer and other roles of androgens and their precursor dehydroepiandrosterone [J].
Labrie, F ;
Luu-The, V ;
Labrie, C ;
Bélanger, A ;
Simard, J ;
Lin, SX ;
Pelletier, G .
ENDOCRINE REVIEWS, 2003, 24 (02) :152-182
[9]   Comparative effects of oral esterified estrogens with and without methyllestosterone on endocrine profiles and dimensions of sexual function in postmenopausal women with hypoactive sexual desire [J].
Lobo, RA ;
Rosen, RC ;
Yang, HM ;
Block, B ;
Van der Hoop, RG .
FERTILITY AND STERILITY, 2003, 79 (06) :1341-1352
[10]   17α-Methyl testosterone is a competitive inhibitor of aromatase activity in Jar choriocarcinoma cells and macrophage-like THP-1 cells in culture [J].
Mor, G ;
Eliza, M ;
Song, J ;
Wiita, B ;
Chen, S ;
Naftolin, F .
JOURNAL OF STEROID BIOCHEMISTRY AND MOLECULAR BIOLOGY, 2001, 79 (1-5) :239-246