Long-term effects of percutaneous estradiol on bone loss and bone metabolism in postmenopausal hysterectomized women.

Abstract:

OBJECTIVE:To determine whether percutaneous estradiol (pE2) (1.5 mg/day) is able to counteract the postmenopausal bone loss in postmenopausal hysterectomized women, in a double-blind study versus oral estriol (E3) (2 mg/day). METHODS:The bone mineral density of the lumbar spine (LS) and of the proximal femur (PF) was measured every 3 months by dual energy X-ray absorptiometry for 2 years in 43 hysterectomized postmenopausal women (21 in the E2 group and 22 in the E3 control group), and in a subset of patients for a 3rd year. The statistical analyses were performed on Macintosh using Stat View II. RESULTS:A significant bone loss of 1.2 (0.4%)% and of 1.3 (0.3)% per year was observed in the control group, respectively at LS and at PF, versus a significant gain of 1.2 (0.5)% per year in the treated group at the LS. No significant change at PF occurred in the treated group. In the 20 patients followed up for a 3rd year on pE2, an increase of 1.2 (0.9) and 2.5 (1.4)% at LS in the 12 former active group patients and the eight formerly control patients, respectively was seen. The same trend was observed at the proximal femur. CONCLUSION:pE2 (1.5 mg E2) is able to counteract the postmenopausal bone loss in hysterectomized women, whereas E3 (2 mg/day administered orally) is unable to maintain bone mass.

journal_name

Maturitas

journal_title

Maturitas

authors

Devogelaer JP,Lecart C,Dupret P,De Nayer P,Nagant De Deuxchaisnes C

doi

10.1016/s0378-5122(97)00081-9

subject

Has Abstract

pub_date

1998-01-12 00:00:00

pages

243-9

issue

3

eissn

0378-5122

issn

1873-4111

pii

S0378512297000819

journal_volume

28

pub_type

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