Lipoprotein changes during treatment of pelvic endometriosis with medroxyprogesterone acetate.
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Abstract
Ten women with endometriosis were treated with medroxyprogesterone acetate (MPA), 150 mg intramuscularly every second week. After 2 weeks, there was a significant (8%) decrease in the high-density lipoprotein (HDL) concentration. This reduction became more pronounced after 8 and 24 weeks' medication. The HDL reduction was confined to the HDL2 subfraction, which was decreased by 15%, 33%, and 58% after 2, 8, and 24 weeks, respectively; there was no significant change in the HDL3 concentration. During treatment, there was a continuous increase in the mean MPA plasma level and a strong inverse correlation between this level and the mean HDL and HDL2 cholesterol concentrations. It was concluded that MPA affects HDL metabolism in a dose-dependent way and in the same direction as other progestins.
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Cited by (12)
- Progestins in the Medical Management of Endometriosis 2017
- Dienogest is a selective progesterone receptor agonist in transactivation analysis with potent oral endometrial activity due to its efficient pharmacokinetic profile 2007
- The role of progestins in treating the pain of endometriosis 2006
- Medikamentöse und konservative Therapie 2004
- Subdermal progestin implant (Nestorone<sup>®</sup>) in the treatment of endometriosis: clinical response to various doses 2003
- Endometriosis and Pelvic Pain 1998
- Endometriosis: critical assessment of current therapies 1998
- Changing concepts of medical treatment of endometriosis 1993
- Medical treatment of mild endometriosis associated with infertility 1991
- Lipid Metabolism During Treatment of Endometriosis with the Progestin Dienogest 1989
- LH-RH agonist (Buserelin): treatment of endometriosis 1989
- Lipid metabolic changes during hormonal treatment of endometriosis 1988
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