Gestrinone in the treatment of menorrhagia

In: BJOG: An International Journal of Obstetrics & Gynaecology · 1990 · vol. 97(8) , pp. 713–715 · doi:10.1111/j.1471-0528.1990.tb16244.x · PMID:2205289 · W2052067262
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Gestrinone, 2.5 mg twice weekly, reduced menstrual blood loss in 10 of 19 women with menorrhagia, with four showing no response, potentially due to leiomyomas.

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Abstract

The role of gestrinone, 2.5 mg twice weekly, in treating proven menorrhagia (greater than 80 ml) was examined in 19 women. They were treated for five cycles (2 placebo, 3 active), taking one capsule twice weekly. Placebo had no effect on menstrual blood loss (MBL). On gestrinone 10 women became amenorrhoeic, in five MBL was markedly reduced (5-74 ml) and four did not respond. In three of the non-responders submucous leiomyomas were found at subsequent hysterectomy. Follow-up periods showed a persistent reduction in MBL for nine women in the first post-treatment menstruation.

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