Overview

Aromatase Inhibitors or GnRH-a for Uterine Adenomyosis

Status:
Completed
Trial end date:
2010-01-01
Target enrollment:
0
Participant gender:
Female
Summary
To date, there is no uniform agreement on the most appropriate therapeutic methods for managing women with uterine adenomyosis and/or adenomyoma who want to preserve their fertility. Management with hormonal treatment that aims to reduce the proliferation of endometrial cells is promising, but there is a paucity of well-designed studies to guide treatment. There is a strong need to develop pharmacological agents that provide an efficient outcome. Gonadotripn releasing hormone analogues (GnRHa) have been used in several studies, to produce a constant hypoestrogenic state in a woman with adenomyosis which cause amenorrhoea, control of pain and uterine shrinkage . Pure antiestrogens, however, may offer some advantage in the treatment of adenomyosis and trials are required to assess its usefulness. Leiomyoma and uterine volumes were successfully reduced by use of aromatase inhibitors (AIs). Assuming aromatase production activity in the adenomyosis lesion, Kimura et al, used GnRHa and an AI concomitantly for treatment of uterine adenomyosis. This lack of information stimulated us to run this trial to compare the efficacy of aromatase inhibitor vs. GnRHa in treating premenopausal women with uterine adenomyosis.
Phase:
Phase 2/Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Mansoura University
Treatments:
Aromatase Inhibitors
Goserelin
Letrozole
Criteria
Inclusion Criteria:

- Patients included in the study were premenopausal women aged 18-42 years with
adenomyosis with abnormal uterine bleeding, unexplained infertility, pelvic pain,
dysmenorrhea, or pressure effect

Exclusion Criteria:

- Excluded subjects included women who had myoma(s) measuring >2 cm, women with uterine
adenomyoma who were under treatment with any type of hormonal therapy more recently
than 1 month, and women with a history of major medical problem and/or previous
medical or surgical treatment for the problem