Endometriosis, Pain
Conditions
Keywords
endometriosis, atorvastatin, oral, contraception, pain, relief, pelvic pain in women with endometriosis
Brief summary
The purpose of this study is to determine whether atorvastatin (alone or in combination with oral contraceptive) is effective in treatment of pelvic pain and inflammatory response in women with endometriosis.
Interventions
oral contraceptive (20ug EE, 150ug DSG) 1 tablet a day p.o. for 21 days with 7 day break for 6 months
atorvastatin 20mg po a day for 6 months + oral contraceptive (20ug EE, 150ug DSG) 1 tablet po a day for 21 days with 7 day break for 6 months
Sponsors
Study design
Eligibility
Inclusion criteria
* informed written consent * premenopausal women aged 18-45 * clinical signs and symptoms of endometriosis for minimum 3 months with endometriosis confirmed at laparoscopy or laparotomy within last 4 months - 5 years (preferably with histological confirmation) * pain symptoms of moderate intensity (dysmenorrhoea + dyspareunia + nonmenstrual pelvic pain \> 6 points on Biberoglu & Behrman scale \[1981\]) * no clinical signs of sexually transmitted disease
Exclusion criteria
* cancer of the ovary, adrenals, endometrium, uterine cervix, breasts * pregnancy or lactation * unexplained uterine/cervical bleeding * hormonal therapy within last 3 months (for GnRH analogs 6 months) * irregular menses (\> 35 days) or secondary amenorrhoea (\>3 months) * other chronic disease affecting pelvic or abdominal cavity (including PID, ulcerating colitis , Crohn's disease, recurrent interstitial cystitis) * sexually transmitted disease (gonorrhoea, Chlamydia) * uncontrolled diabetes mellitus type I or II, VTE or other contraindications to medicine used in the study * chronic therapy with CYP3A4 inhibitors (including ketoconazole, erythromycin and others)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain relief | 3,6,12 months |
Secondary
| Measure | Time frame |
|---|---|
| inflammatory status | 6 months |
Countries
Poland