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Ultrasound study of ovarian and uterine morphology in women with polycystic ovary syndrome before, during and after treatment with cyproterone acetate and ethinyloestradiol

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Summary

Women with the polycystic ovary syndrome were treated cyclically for two years with an oral oestrogen/progestogen combination of 50 mg of cyproterone acetate and 0.05 mg of ethinyloestradiol. Ovarian volume, ovarian texture and uterine size were monitored by ultrasound before, during and after treatment. Menstrual rhythm, ovulation and the degree of hirsutism were also studied clinically. A significant decrease in the ovarian volume and in the number of cystic areas was observed during treatment. Hirsutism was also markedly improved. Some of these beneficial effects persisted after treatment was stopped. The number of subjects who had regular, ovulatory cycles increased after stopping treatment. Growth of uterine muscle occurred during treatment.

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References

  1. Ferriman, D, Gallwey JD (1961) Clinical assessment of body hair growth in women. J Clin Endocrinol Metab 21: 1440–1447

    PubMed  Google Scholar 

  2. Flamigni C, Venturoli S, Filicori M, Bulletti C, Paradisi R (1980) L'ovaio policistico: considerazioni eziopatogenetiche, istopatologiche, biochimiche, diagnostiche e terapeutiche. J Endocrinol Invest 3 (Suppl 2): 181–189

    PubMed  Google Scholar 

  3. Frey H, Aakvaag A (1981) The treatment of essential hirsutism in women with cyproterone acetate and ethinyl estradiol. Clinical and endocrine effects in 10 cases. Acta Obstet Gynecol Scand 60: 295–300

    PubMed  Google Scholar 

  4. Frölich M, Vader HL, Walma ST, De Rooy HAM (1980) The influence of long-term treatment with cyproterone acetate or a cyproterone acetate-ethinyloestradiol combination on androgen levels in blood of hirsute women. J Steroid Biochem 12: 499–501

    PubMed  Google Scholar 

  5. Givens JR, Anderson RN, Wiser WL, Fish SA (1974) Dynamics of suppression and recovery of plasma FSH, LH, androstenedione and testosterone in polycystic ovarian disease using an oral contraceptive. J Clin Endocrinol Metab 38: 727–735

    PubMed  Google Scholar 

  6. Hammerstein J, Cupceancu B (1969) Behandlung des Hirsutismus mit Cyproteronazetat. Dtsch Med Wochenschr 94: 829–835

    PubMed  Google Scholar 

  7. Orsini LF, Rizzo N, Calderoni P, Pilu G, Bovicelli L (1983) Ultrasound monitoring of ovarian follicular development: a comparison of real time and static scanning techniques. J Clin Ultrasound 11: 207–213

    PubMed  Google Scholar 

  8. Parisi L, Tramonti M, Casciano S, Zurli A, Gazzarini O (1982) The role of ultrasound in the study of polycystic ovarian disease. J Clin Ultrasound 10: 167–172

    PubMed  Google Scholar 

  9. Schindler AE, Mangold K, Friedrich E, Keller E, Göser R (1978) Therapy of androgenic symptomatology with cyproterone acetate and ethinylestradiol. Arch Gynecol 225: 103–107

    Google Scholar 

  10. Stein IF, Leventhal ML (1935) Amenorrhea associated with bilateral ovarian disease. Am J Obstet Gynecol 29: 181–191

    Google Scholar 

  11. Swanson M, Sauerbrei EE, Cooperberg PL (1981) Medical implication of ultrasonically detected polycystic ovaries. J Clin Ultrasound 9: 219–222

    PubMed  Google Scholar 

  12. Venturoli S, Paradisi R, Saviotti E, Barnabé S, Porcu E, Fabbri R, Flamigni C (1983) Ultrasound study of ovarian morphology in women with polycystic ovary syndrome before and during treatment with an oestrogen/progestogen preparation. Arch Gynecol 234: 87–93

    PubMed  Google Scholar 

  13. Yen SSC (1980) Polycystic ovary syndrome. Clin Endocrinol (Oxf) 12: 177–208

    Google Scholar 

  14. Ylöstalo P, Laakso L, Viinikka L, Ylikorkala O, Vihko R (1981) Cyproterone acetate in the treatment of hirsutism. Acta Obstet Gynecol Scand 60: 399–401

    PubMed  Google Scholar 

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Venturoli, S., Paradisi, R., Saviotti, E. et al. Ultrasound study of ovarian and uterine morphology in women with polycystic ovary syndrome before, during and after treatment with cyproterone acetate and ethinyloestradiol. Arch. Gynecol. 237, 1–10 (1985). https://doi.org/10.1007/BF02133945

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  • DOI: https://doi.org/10.1007/BF02133945

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