Selective progesterone receptor modulators (SPRMs): a novel therapeutic concept in endometriosis

Kristof Chwalisz, Chwalisz K, Kristof Chwalisż, Ramesh Garg, Garg R, Ramesh C. Garg, Brenner RM, Robert Brenner, Robert M Brenner, Schubert G, G. Schubert, Gerd Schubert, Elger W, Walter Elger, W Elger
Annals of the New York Academy of Sciences · 2002 · vol. 955(1) , pp. 373–388 · doi:10.1111/j.1749-6632.2002.tb02798.x · PMID:11949964 · W2095215260
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This review discusses selective progesterone receptor modulators (SPRMs) as a potential therapeutic strategy for endometriosis, highlighting their potential advantages over current treatments due to endometrial selectivity and favorable pharmacology.

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Abstract

Endometriosis, the presence of endometrial tissue outside the uterus, is a progressive, estrogen-dependent disease and occurs nearly exclusively in menstruating women of reproductive age. Pain syndrome, however, represents the major clinical problem of this disease, manifested as dysmenorrhea, pelvic pain, lower abdominal pain, and dyspareunia. The manifestation of the disease, that is, the pain syndrome, rather than the disease itself currently represents the major indication for both the medical and surgical therapies of endometriosis. The major drawbacks of current medical therapies of endometriosis are sometimes severe side effects. In this review, selective progesterone receptor modulators (SPRMs, mesoprogestins) as a potential therapeutic concept in endometriosis are discussed. Due to endometrial selectivity and favorable pharmacological profile, SPRMs may have advantages over the current medical treatments of this disease. Other emerging therapeutic approaches for this disease are also mentioned.

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Condition tags

endometriosisdysmenorrheadyspareunia

MeSH descriptors

Endometriosis Hormone Antagonists Receptors, Progesterone Animals Animals Endometriosis Endometriosis Endometriosis Female Female Hormone Antagonists Hormone Antagonists Hormone Antagonists Humans Humans Ovulation Ovulation Ovulation Pregnancy Pregnancy

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (30)

Cited by (49)

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