Menopausal hormonal therapy in surgically menopausal women with underlying endometriosis
In: Climacteric, Jg. 25 (2021-11-16), S. 388-394
Online
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Zugriff:
Objective This study aimed to investigate the relationship between menopausal hormone therapy (MHT) and endometriosis recurrence in women who underwent hysterectomy with bilateral salpingo-oophorectomy to treat endometriosis. Method This retrospective cohort study included 330 women who underwent definitive surgery to treat endometriosis during 1996-2012. Follow-up data until December 2018 were analyzed. Patients were grouped as MHT non-users (non-MHT, n = 43), estrogen-only therapy (ET, n = 230), estrogen-progestogen therapy (EPT, n = 39) and tibolone (n = 18). Results The mean age at surgery was 41.5 ± 5.3 years. The overall median follow-up duration was 6.0 years (interquartile range [IQR]: 3.0-10.4), and the median duration of MHT use was 66.0 months (IQR: 36.0-116.3). The overall recurrence rate was 3.0% (95% confidence interval: 1.5-5.5) and there was no significant difference in recurrence among the study groups. Disease recurrence resolved after MHT discontinuation, or change in MHT type and/or dose. Conclusions No significant association between MHT use and endometriosis recurrence was found in this study. The endometriosis recurrence rate was non-significantly different between ET and EPT. Recurrent endometriosis can be successfully treated without invasive measures. No study patients had malignant transformation after a median follow-up of 6 years. Our findings suggest that any of the three evaluated MHT regimens can be used in surgically menopausal Thai women with underlying endometriosis.
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Menopausal hormonal therapy in surgically menopausal women with underlying endometriosis
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Autor/in / Beteiligte Person: | Chantrapanichkul, Panicha ; Indhavivadhana, Suchada ; Wongwananuruk, Thanyarat ; Rattanachaiyanont, Manee ; Techatraisak, Kitirat ; Tanmahasamut, Prasong |
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Zeitschrift: | Climacteric, Jg. 25 (2021-11-16), S. 388-394 |
Veröffentlichung: | Informa UK Limited, 2021 |
Medientyp: | unknown |
ISSN: | 1473-0804 (print) ; 1369-7137 (print) |
DOI: | 10.1080/13697137.2021.1998434 |
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