Estro-progestin Drugs, Polycystic Ovary Syndrome
Conditions
Keywords
PCOS, drospirenone ethinylestradiol, androgens, metabolism
Brief summary
The estrogenic component of estro-progestin (EP) is responsible for a negative impact on the metabolic and lipid assessment in women with polycystic ovary syndrome (PCOS). The objective of this study is to compare the effects of a long term administration of two EP combinations, containing the same progestin (3 mg drospirenone) and a different dose of ethinyl-estradiol (EE) (20 vs 30 μg ) on the clinical and endocrine-metabolic parameters in normal weight PCOS women. The investigators enrolled 30 patients, randomly allocated to group A (20 µg EE - 3 mg DRSP) and 15 to group B (30 µg EE - 3 mg DRSP). Hirsutism score evaluation, hormonal assays, oral glucose tolerance test, euglycaemic hyperinsulinaemic clamp and lipid profile were performed at baseline and after 6 and 12 months of therapy.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* normal weight women with Polycystic ovary syndrome, diagnosed in accordance with Rotterdam Consensus Conference Criteria 2003.
Exclusion criteria
* pregnancy * past history of cardiovascular disease, diabetes mellitus (or impaired glucose tolerance as determined by a standard 75 g oral glucose tolerance test), hypertension * significant liver or renal impairment * other hormonal dysfunction (hypothalamic, pituitary, thyroidal or adrenal causes for the clinical signs) * neoplasms * unstable mental illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To compare the effects of two EP combinations on endocrine-metabolic parameters in normal weight PCOS women | twelve months | hormonal assays, oral glucose tolerance test, euglycaemic hyperinsulinaemic clamp and lipid profile |
Countries
Italy