Gestagens in the therapy of endometriosis

Dubrovina S.O., Berlim Y.D.

Rostov State Medical University, Rostov-on-Don 344022, per. Nakhichevan, 29, Russia
Long time, combined estrogen-progestin oral contraceptive pills were the first-line therapy for dysmenorrhea and pelvic pain among women with endometriosis without clinical evidence of efficacy. Clinical evidence supports a potential adverse effect of long-term use of OCPs on the progression of endometriosis, including deep infiltrative endometriosis. At the same time, randomized, controlled data stresses the advantages of progestin-only treatment for pelvic pain associated with endometriosis and for suppressing of endometriotic lesions. There are only 2 registered oral progestin-only drugs in Russia: dydrogesterone and dienogest. According last trials, dydrogesterone has some preferences in comparison with dienogest in treatment of endometriosis.

Keywords

endometriosis
combined oral contraceptives (OCPs)
dydrogesterone

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Received 12.04.2018

Accepted 28.04.2018

About the Authors

Svetlana O. Dubrovina, MD, professor of the department of obstetrics and gynecology № 1, Rostov State Medical University.
344022, Russia, Rostov-on-Don, per. Nakhichevan, 29. Е-mail: s.dubrovina@gmail.com
Yuliya D. Berlim, PhD, doctor оbstetrician-gynecologist of the clinic, Rostov State Medical University.
344022, Russia, Rostov-on-Don, per. Nakhichevan, 29. Е-mail: juliaberlim@yandex.ru

For citations: Dubrovina S.O., Berlim Y.D. Gestagens in the therapy of endometriosis. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (5): 150-5. (in Russian)
https://dx.doi.org/10.18565/aig.2018.5.150-155

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