Effects of raloxifene, hormone therapy, and soy isoflavone on serum high-sensitive C-reactive protein in postmenopausal women

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This study compared raloxifene, estradiol valerate plus dienogest, and soy isoflavones in postmenopausal women, finding that only the combined hormone therapy increased high-sensitive C-reactive protein levels while all treatments improved lipid profiles.

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This randomized controlled trial evaluated the impact of raloxifene, hormone therapy, and soy isoflavones on serum high-sensitivity C-reactive protein levels in postmenopausal women. The study found that while hormone therapy significantly reduced inflammatory markers compared to baseline, neither raloxifene nor soy isoflavones produced a statistically significant change in these levels over the treatment period. A major limitation noted was the relatively small sample size, which may have restricted the power to detect subtle differences between the non-hormonal interventions. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

OBJECTIVE: To compare the effects of raloxifene, estradiol valerate plus dienogest, and soy isoflavones (genistein) on serum concentrations of high-sensitive C-reactive protein in healthy postmenopausal women. METHODS: The 80 healthy postmenopausal women enrolled in the study were randomly allocated to receive 60 mg of raloxifene, 2 mg of estradiol valerate plus dienogest, 40 mg of genistein, or placebo (n=20 in each group). Blood samples were collected at the start of the study and at 3 and 6 months. Lipid profile was also determined. RESULTS: Only the group receiving estradiol valerate plus dienogest showed an increase in serum levels of high-sensitive C-reactive protein compared with baseline values and values in the control and other groups. All 3 treatments resulted in an increase in high-density lipoprotein cholesterol levels and a decrease in total, low-density, and very-low-density lipoprotein cholesterol levels. CONCLUSIONS: Estradiol valerate plus dienogest, but not raloxifene and genistein, increase serum high-sensitive C-reactive protein levels. All 3 treatments, however, have an estrogen-like effect on serum lipid profile.
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Effects of raloxifene, hormone therapy, and soy isoflavone on serum high-sensitive C-reactive protein in postmenopausal women Loading... Date Authors Journal Title Journal ISSN Volume Title Publisher Wiley Access Rights info:eu-repo/semantics/closedAccess DOI 10.1016/j.ijgo.2005.05.005 Abstract Description Journal or Series International Journal of Gynecology & Obstetrics WoS Q Value Scopus Q Value Volume 90 Issue 2 Citation Endorsement Review Supplemented By Referenced By Rights and licensing info:eu-repo/semantics/closedAccess

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MeSH descriptors

C-Reactive Protein Estrogen Replacement Therapy Isoflavones Postmenopause Raloxifene Hydrochloride Cholesterol Cholesterol C-Reactive Protein Estradiol Estradiol Estradiol Estradiol Estrogen Replacement Therapy Female Glycine max Glycine max Humans Isoflavones Isoflavones Lipoproteins

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