Dienogest: an oral progestogen for the treatment of endometriosis
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Abstract
Dienogest is a progestogen that combines the pharmacological properties of 19-norprogestins and progesterone derivatives. Dienogest has a potent effect on endometrial tissue, producing antiproliferative effects on endometriotic cells, as well as anti-inflammatory and antiangiogenic actions. Dienogest has been systematically investigated for the treatment of endometriosis through comprehensive study programs in Europe and Japan. Clinical experience of dienogest at 2 mg daily orally demonstrates that it significantly reduces endometriotic lesions and provides effective pain relief comparable to the current efficacy standard, combined with a favorable safety and tolerability profile that allows long-term use. Study data over 15 months show sustained pain relief and low incidences of treatment-related adverse events. As with other progestogens, spotting or breakthrough bleeds are common, but usually lessen during long-term treatment. Dienogest does not produce antiestrogenic side effects, such as bone mass loss. This article reviews the evidence for the use of dienogest in endometriosis.
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Cited by (16)
- A prospective study examining the effect of dienogest treatment on endometrioma size and symptoms 2022
- Safety of Dienogest and Other Hormonal Treatments for Endometriosis in Real-World Clinical Practice (VIPOS): A Large Noninterventional Study 2020
- Effect of Dienogest therapy on the size of the endometrioma 2020
- Modern trends in the treatment of endometriosis 2019
- New insights on the pathogenesis of endometriosis and novel non-surgical therapies 2018
- INDIVIDUALIZATION OF MANAGEMENT OF PATIENTSWITH ENDOMETRIOSIS OF THE UTERUS BASED ON THE USEOF LEVONORGESTREL-CONTAINING INTRAUTERINE SYSTEMAND HYSTERORESECTOSCOPIC ENDOMETRIAL ABLATION 2017
- The possibility of treatment with dienogest 2 mg in patients with genital endometriosis 2017
- Progestins in the Medical Management of Endometriosis 2017
- Clinical picture and diagnosis of genital endometriosis 2016
- Is endometriosis a benign disease? Modern controversial aspects of endometriosis-associated ovarian tumors 2016
- National consensus on management patients with endometriosis 2015
- Noncontraceptive benefits of the estradiol valerate/dienogest combined oral contraceptive: a review of the literature 2014
- The “newer” progestogens and postmenopausal hormone therapy (HRT) 2013
- Treatment of endometriosis in different ethnic populations: a meta-analysis of two clinical trials 2012
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- Ovulation‐Inhibiting Effects of Dienogest in a Randomized, Dose‐Controlled Pharmacodynamic Trial of Healthy Women 2011
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