Sustained-release of estradiol implants and a levonorgestrel-releasing intrauterine device in hormone replacement therapy
Article Abstract:
Estrogen implants combined with a progestin-releasing intrauterine device worked effectively as postmenopausal replacement therapy. Thirty-six postmenopausal women received one or three estrogen implants, and a levonorgestrel-releasing IUD was inserted. Four women, all with only a single estrogen implant, withdrew from the study because of the return of menopausal symptoms. Three women with three estrogen implants also discontinued therapy. One complained of loss of libido at ten weeks, and another discontinued at 9 months for sensations of swelling. The third woman discontinued at 13 months for uncontrolled bleeding that turned out to be caused by a cervical polyp. By the end of the year-long observation period, 72% of the group had had no bleeding or spotting within the prior three months. This combination of therapies offers the convenience of requiring no daily effort.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1995
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Clinical experience with a seven-day estradiol transdermal system for estrogen replacement therapy
Article Abstract:
An estrogen replacement therapy (ERT) consisting of a patch worn for seven days may effectively deliver estrogen while adhering well to the skin. Researchers tested the effects of the Climara transdermal patch in two sizes against those of a twice-weekly patch, conjugated equine estrogens (CEE), and placebo, in 603 postmenopausal women. Both patch sizes and CEE reduced the frequency and severity of hot flushes in seven days of treatment. The larger patch produced relief of symptoms faster, in the first week, than did the smaller patch or CEE. The 7-day patches released estrogen more evenly than did the twice-weekly patch, and adhered to skin much better. The most common reason for stopping treatment was skin irritation from the patch.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1995
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Omitting the first oral contraceptive pills of the cycle does not automatically lead to ovulation
Article Abstract:
Ovulation probably will not occur if a woman forgets to take her birth control pills for up to three days. Researchers used ultrasound scans to measure ovulation in 99 women who were randomly assigned to one of three combined oral contraceptive regimens. During an interval of 10 days in which the women did not take their pills, follicle stimulating hormone and estradiol levels increased. This increases the chance of ovulation, but evidence of beginning ovulation was found in only 24% to 40% of the women, depending on which contraceptive regimen they were on.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1998
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