Treatment of Endometriosis and Chronic Pelvic Pain with Letrozole and Norethindrone Acetate
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This study investigated the efficacy of letrozole combined with norethindrone acetate in treating endometriosis and chronic pelvic pain.
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Abstract
BackgroundEndometriosis is encountered in 7-10% of actively menstruating women, with a suspected prevalence as high as 22% in asymptomatic women. It is an important cause of chronic pelvic pain. The aim of this study was to evaluate the efficacy and safety of letrozole in combination with norethindrone acetate and calcium in the management of endometriosis associated pelvic pain.MethodsProspective non-randomized open label study was carried out including 20 patients with endometriosis related pelvic pain that was refractory to previous treatments.ResultIn all 14 patients completed the study. All patients showed significant improvement of pain scores and revealed significant improvement of features of endometriosis on being given letrozole in combination with norethindrone acetate and calcium.ConclusionLetrozole is an effective drug for treatment of endometriosis.
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Cited by (7)
- Endometrial regeneration and the role of the extracellular matrix: mechanisms, challenges, and future perspectives 2025
- Hypomethylation of IL6ST promotes development of endometriosis by activating JAK2/STAT3 signaling pathway 2025
- Impact of endometriosis on women’s life decisions and goal attainment: a cross-sectional survey of members of an online patient community 2022
- Uso de inhibidores de la aromatasa en el tratamiento del dolor pélvico asociado a endometriosis: revisión sistemática 2021
- Discerning Endometriosis as a Multifaceted Entity: A Comprehensive Review 2020
- “Per vaginam” topical use of hormonal drugs in women with symptomatic deep endometriosis: a narrative literature review 2017
- Systematic review of endometriosis pain assessment: how to choose a scale? 2014
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- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:17:07.008521+00:00
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