Endometrial patterns during therapy with danazol or gestrinone for endometriosis: Structural and ultrastructural study
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This study examined structural and ultrastructural changes in the endometrium of women receiving danazol or gestrinone therapy for endometriosis.
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Abstract
We treated 36 women with laparoscopically proven endometriosis with danazol 600 mg/d (n = 17) or gestrinone 5.0 mg/wk (n = 19) for 6 months. Endometrial samples were obtained before and at 3 and 6 months of treatment and were studied by light, scanning, and transmission electron microscopy. At 3 months of treatment, the endometria of the danazol-treated patients were more atrophic than those of the women who received gestrinone. Some cell organelle involution was evident in patients of both treatment groups. After 6 months of treatment, marked endometrial atrophy was observed in all the patients, including those in whom spotting had occurred. The ultrastructural investigation demonstrated complete involution of the cytoplasmic organelles with cytoplasmic collapse in glandular cells of patients treated with danazol, whereas in the gestrinone group degeneration phenomena were observed in both nucleus and cytoplasm. Irregular secretory transformation was seen in the endometria of patients in both groups. Long-term treatment with danazol caused endometrial atrophy similar to that induced by gestrinone, but it appeared earlier; thus, the former drug seems preferable in short-term treatment.
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Cited by (13)
- Evaluation of safety and effectiveness of gestrinone in the treatment of endometriosis: a systematic review and meta-analysis 2022
- Benign Diseases of the Endometrium 2018
- Endometrial Presurgical Preparation 2017
- Endometrial Preparation With Estradiol Plus Dienogest (Qlaira) for Office Hysteroscopic Polypectomy: Randomized Pilot Study 2012
- Nomegestrol acetate versus combined oral contraceptive as rapid endometrial preparation for operative hysteroscopy: a prospective randomised pilot study 2012
- Rapid endometrial preparation for hysteroscopic surgery with oral desogestrel plus vaginal raloxifene: a prospective, randomized pilot study 2007
- Medical Management of Endometriosis 2006
- Gestrinone versus danazol as preoperative treatment for hysteroscopic surgery: a prospective, randomized evaluation 2006
- Effects of Hormones 2005
- Emerging drugs for endometriosis 2004
- Effects of Hormones 1995
- Histological impact of medical therapy – clinical implications 1995
- Benign Diseases of the Endometrium 1994
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- europepmc
- last seen: 2026-07-27T06:15:28.040536+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:11:54.876058+00:00
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