Bazedoxifene–Conjugated Estrogens for Treating Endometriosis
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A patient with stage III endometriosis experienced resolution of pelvic pain and no adverse effects when treated with bazedoxifene and conjugated estrogens for over six months.
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Abstract
BACKGROUND: Endometriosis is a gynecologic disorder affecting 6-10% of reproductive-aged women. First-line therapies are progestin-based regimens; however, failure rates are high, often requiring alternative hormonal agents, each with unfavorable side effects. Bazedoxifene with conjugated estrogens is approved for treatment of menopausal symptoms, and use in animal studies has demonstrated regression of endometriotic lesions. As such, it represents a potential treatment option for endometriosis. CASE: A patient with stage III endometriosis referred for management of dysmenorrhea and cyclic pelvic pain was treated with 20 mg bazedoxifene and 0.45 mg conjugated estrogens daily for more than 6 months. She noted resolution of pelvic pain. There were no abnormal effects on hormonal, uterine, or ovarian parameters. CONCLUSION: Bazedoxifene with conjugated estrogens may be an effective alternative to traditional endometriosis treatment options.
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Cited by (6)
- The Effect of Bazedoxifene and Fulvestrant for Preventing Ovarian Hyperstimulation Syndrome: An Experimental Study 2025
- Neuroimmunology of Endometriosis-Associated Pain and Its Psychological Aspects 2024
- A review of phase II and III drugs for the treatment and management of endometriosis 2023
- Novel pharmacological therapies for the treatment of endometriosis 2022
- Advances in targeting estrogen synthesis and receptors in patients with endometriosis 2022
- A comprehensive review of hormonal and biological therapies for endometriosis: latest developments 2019
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:19:43.094626+00:00
- unpaywall
- last seen: 2026-06-02T02:00:03.124865+00:00
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