Progestins and combined oral contraceptives in the hormonal treatment of endometriosis – a review

• Authors: Kornelia Rojek , Agata Juda , Magdalena Kamińska , Adam Strzoda , Anna Strzoda , Wojciech Sowiński , Michał Zdybel , Agata Strzoda

Abstracts

EN

Introduction and aim. Endometriosis is a common inflammatory disease affecting 6-10% of women of reproductive age. It is defined as the growth of endometrial-like tissue outside the uterine cavity. Dysmenorrhea, pelvic pain, dyspareunia and infertility are the main symptoms of endometriosis patients. Endometriosis treatment methods can be broadly divided into surgical and pharmacological. Currently, hormonal drugs are often used for women with endometriosis to relieve bothersome symptoms. The aim of this article is to review new publications presenting the effectiveness as well as side effects of the use of progestins and combined oral contraceptives in the hormonal treatment of endometriosis. Material and methods. A review of the literature regarding progestins and combined oral contraceptives in the treatment of endometriosis was performed using the PubMed database. In the end, 67 articles were included in this review. Analysis of the literature. Progestins and combined oral contraceptives significantly reduce dysmenorrhea, dyspareunia and pelvic pain in women with endometriosis. However, there is a risk of potential side effects, which should be taken into account when choosing a therapy for each patient individually. Conclusion. Endometriosis is a chronic disease that has a significant impact on the health-related quality of life of patients. When choosing a treatment, many aspects should be considered, primarily the patient’s preferences, drug tolerance and safety. Further drug research is needed to determine the most effective treatment for endometriosis.

Keywords

EN

combined oral contraceptives; endometriosis; health-related quality of life; infertility; pelvic pain; progestins

• Publisher: Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
• Journal: European Journal of Clinical and Experimental Medicine
• Year: 2023
• Issue: 2
• Pages: 397-404

Dates

published

2023

Contributors

author

Kornelia Rojek

• Faculty of Medicine, Medical University of Lublin, Lublin, Poland

author

Agata Juda

• Faculty of Medicine, Medical University of Lublin, Lublin, Poland

author

Magdalena Kamińska

• Faculty of Medicine, Medical University of Lublin, Lublin, Poland

author

Adam Strzoda

• Faculty of Medicine, Medical University of Lublin, Lublin, Poland

author

Anna Strzoda

• Faculty of Medicine, Medical University of Lublin, Lublin, Poland

author

Wojciech Sowiński

• Faculty of Medicine, Medical University of Lublin, Lublin, Poland

author

Michał Zdybel

• Faculty of Medicine, Medical University of Lublin, Lublin, Poland

author

Agata Strzoda

• Faculty of Medicine, Cardinal Stefan Wyszyński University in Warsaw, Warszawa, Poland

Identifiers

DOI

10.15584/ejcem.2023.2.21

Biblioteka Nauki

25107560