Comparison of spironolactone-oral contraceptive versus cyproterone acetate-estrogen regimens in the treatment of hirsutism.
In: Fertility and sterility, Jg. 66 (1996-08-01), Heft 2, S. 216-9
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Zugriff:
Objective: To compare the efficacy of two antiandrogens, cyproterone acetate (CPA) and spironolactone, in the treatment of hirsutism.
Design: Prospective randomized single-blinded study.
Setting: A tertiary hirsutism clinic.
Patients: Forty-two premenopausal patients with hirsutism were selected.
Interventions: Subjects were randomized to receive either 100 mg spironolactone and an oral contraceptive (OC) containing 150 microg desogestrel and 30 microg ethinyl E2 or 50 mg CPA daily on days 1 to 10 of the menstrual cycle, which was administered with 35 microg ethinyl E2 daily on days 1 to 21.
Main Outcome Measures: Hirsutism scores were measured according to Ferriman-Gallwey scoring system and side effects were monitored for 9 months of treatment. Blood samples were taken at each visit for assessment of endocrine, biochemical, and hematologic parameters.
Results: Hirsutism scores were decreaded significantly in both groups at the end of 9 months. The percent of change in hirsutism scores in CPA and spironolactone group were as follows: 19.23% +/- 14.77% and 24.48% +/- 14.27% at 3 months; 39.01% +/- 19.77% and 37.46% +/- 16.90% at 6 months; and 51.89% +/- 20.87% and 46.39% +/- 16.10% at 9 months, respectively. There was a trend toward a better response with CPA treatment, which did not achieve significance. None of the patients stopped treatment because of side effects.
Conclusion: The present data suggest that both spironolactone and CPA were similarly effective in treatment of hirsutism.
Titel: |
Comparison of spironolactone-oral contraceptive versus cyproterone acetate-estrogen regimens in the treatment of hirsutism.
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Autor/in / Beteiligte Person: | Erenus, M ; Yücelten, D ; Gürbüz, O ; Durmuşoğlu, F ; Pekin, S |
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Zeitschrift: | Fertility and sterility, Jg. 66 (1996-08-01), Heft 2, S. 216-9 |
Veröffentlichung: | New York. NY : Elsevier for the American Society for Reproductive Medicine ; <i>Original Publication</i>: New York, Hoeber., 1996 |
Medientyp: | academicJournal |
ISSN: | 0015-0282 (print) |
DOI: | 10.1016/s0015-0282(16)58441-6 |
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