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Postmenopausal oestrogen replacement therapy with subcutaneous oestradiol implants

S Suhonen1, S Sipinen, P Lähteenmäki

  • 1Department of Obstetrics and Gynaecology, City Maternity Hospital, Helsinki, Finland.

Maturitas
|March 1, 1993
PubMed
Summary

Subcutaneous oestradiol implants effectively relieved menopausal symptoms for up to 18 months. This hormone replacement therapy offers a safe and convenient alternative for women experiencing climacteric symptoms.

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Area of Science:

  • Endocrinology
  • Gynecology
  • Pharmacology

Background:

  • Menopausal hormone therapy aims to alleviate climacteric symptoms.
  • Estrogen replacement therapy (ERT) is a common treatment for menopausal symptoms.
  • Controlled-release drug delivery systems offer potential advantages in hormone therapy.

Purpose of the Study:

  • To evaluate the efficacy and safety of subcutaneous oestradiol-releasing silastic implants for hormone replacement therapy.
  • To compare the effects of oestradiol valerate (E2V) and oestradiol benzoate (E2B) implants.
  • To assess the impact on hormonal levels, gynecological tissues, and climacteric symptom relief.

Main Methods:

  • Ten postmenopausal patients received either oestradiol valerate (E2V) or oestradiol benzoate (E2B) implants.

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  • Serum hormone levels (estrone, estradiol, FSH, LH) were monitored.
  • Ultrasound and mammography assessed endometrial, uterine, and breast tissue changes.
  • Follow-up duration was 24 weeks, with implants removed upon symptom recurrence.
  • Main Results:

    • Sustained higher serum levels of estrone (E1) and estradiol (E2) were observed.
    • Suppressed levels of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) were noted.
    • Positive estrogenic effects were evident in uterine and breast tissues.
    • Both E2V and E2B implants effectively relieved menopausal symptoms, with symptom return at 8-10 months post-insertion.

    Conclusions:

    • Nonbiodegradable, controlled-release oestrogen implants provide a safe, effective, and convenient option for hormone replacement therapy.
    • Subcutaneous oestradiol implants offer a well-accepted alternative to traditional hormone administration methods.
    • This delivery system demonstrates sustained efficacy in managing menopausal symptoms and hormonal balance.