Monitoring of oestrogen replacement therapy by vaginosonography of the endometrium.

Abstract:

:To prevent hyperplasia and carcinoma of the endometrium during oestrogen replacement therapy (ORT), the addition of progestogens once a month is considered mandatory. However, there is no sound scientific basis for this assumption. As the addition of progestogens has several disadvantages, it is important to minimize the frequency of progestogen addition. Vaginosonography is a rather new technique which has not yet been used for monitoring ORT. In this study the increase in endometrial thickness, as measured by vaginosonography, was taken as an indicator of stimulation of the endometrium by oestrogens. Oestrogen treatment was started in post-menopausal women with little endometrium (thickness less than 3 mm). As long as there was virtually no increase during oestrogen treatment, no progestogen was added, but where considerable growth occurred (greater than 3 mm) progestogen was administered. By means of vaginosonography the growth of the endometrium can be monitored precisely on an individual basis. It is thus possible to distinguish women with a slow growing endometrium from those with an endometrium that grows fast. In this way it will perhaps become possible to minimize progestogen addition during ERT by tailoring dosage to individual requirements.

journal_name

Maturitas

journal_title

Maturitas

authors

Meuwissen JH,van Langen H,Moret E,Navarro-Morquecho I

doi

10.1016/0378-5122(92)90059-d

keywords:

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

33-7

issue

1

eissn

0378-5122

issn

1873-4111

pii

0378-5122(92)90059-D

journal_volume

15

pub_type

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