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Breast Milk Enhances Growth of Enteroids: An Ex Vivo Model of Cell Proliferation
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Dienogest and the breast.

Adolf E Schindler1, Alexandria Henkel, Bernd Christensen

  • 1Institute for Medical Research and Education, Hufelandstrasse 55, D-45122 Essen, Germany. adolf.schindler@uni-due.de

Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology
|June 6, 2009
PubMed
Summary

High-dose dienogest treatment in women with endometriosis led to significant breast size reduction and regression of mastopathic changes. This progestogen therapy also showed a trend toward reduced duct diameter, indicating potential effects on breast tissue.

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Area of Science:

  • Gynecology
  • Endocrinology
  • Radiology

Background:

  • Endometriosis is a chronic inflammatory condition affecting women of reproductive age.
  • Dienogest is a progestogen commonly used for endometriosis treatment.
  • The effects of high-dose dienogest on breast tissue require further investigation.

Purpose of the Study:

  • To evaluate the impact of high-dose dienogest on breast tissue in women with endometriosis.
  • To assess changes in mammary gland size, mastopathic features, duct diameter, and fatty tissue composition.

Main Methods:

  • A pilot study involving 21 women with endometriosis.
  • Treatment with dienogest at 20 mg daily for 24 weeks.
  • Breast ultrasound examinations before and after treatment.

Main Results:

  • Significant reduction in mammary gland size (p < 0.023).
  • Regression of mastopathic changes observed in all participants.
  • Non-significant reduction in maximum duct diameter (p = 0.089).
  • Slight, non-significant increase in fatty tissue proportion (p = 0.348).

Conclusions:

  • High-dose dienogest therapy for endometriosis can lead to significant breast size reduction.
  • The treatment appears to induce regression of mastopathic changes in the breast.
  • Further research is warranted to fully understand the long-term effects on breast tissue.