For example, using a dose of dienogest 2 mg daily, the reduction of endometriosis-related pain was significant; however, in 95% of cases spotting was reported. A mouse model of endometriosis shows that dienogest reduces lesion size better than duphaston and Esmya, although all three were effective. Safety and tolerability of dienogest in endometriosis: pooled analysis from the European clinical study program Thomas Strowitzki,1 Thomas.

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Dienogest in long-term treatment of endometriosis

The mean number of spotting-only days and episodes and the duration of spotting-only endometroisis similarly showed progressive decreases with continued dienogest 2 mg treatment. J Psychosom Obstet Gynaecol.

Dienogest has been investigated as a long-term treatment of endometriosis in two large trials performed in Europe and Japan, which included assessments of efficacy, change in quality dienofest life, safety, and tolerability.

It is notable that mean values in these analyses were higher than those reported in the pharmacodynamic trial of dienogest 2 mg in healthy women, where the mean estradiol concentration was This medication carries a black box warning concerning possible bone mineral loss.

Oral contraceptives and risk of endometriosis: Lack of efficacy was reported by only one woman 0. Women who completed the week placebo-controlled study in Europe 54 were offered the opportunity to enter an open-label extension study of dienogest for up to 53 additional weeks, providing an overall treatment period of up to 65 weeks.

Dienogest has been compared to the gonadotropin-releasing hormone agonist leuprolide leuprorelide in an open-label non-inferiority endometriisis of women.

Adverse effects considered potentially treatment-related developed in A week, randomized, multicentre, open-label trial. Table 2 Proportions of women completing planned study duration and reasons for premature discontinuation: Researchers have also never evaluated the recurrence of endometriosis after stopping treatment with Esmya, duphaston or dienogest. The breasts were examined at minimum by palpation at screening and at the end of treatment in all studies.


Lack of stimulatory effect of dienogest on the expression of intercellular adhesion molecule-1 and vascular cell adhesion molecule-1 by endothelial cell as compared with other synthetic progestins. Accept In order to provide our website visitors and registered users with a service tailored to their individual preferences we use cookies to analyse visitor traffic and personalise content.

This is often treated by discontinuing the COC for a few days and then restarting therapy. Effects of an oral contraceptive containing 30 mcg ethinyl estradiol and 2 mg dienogest on lipid metabolism during 1 year of conventional or extended-cycle use. The full terms of this license are available at https: Dienogest is almost completely absorbed, and has a high bioavailability after oral administration, similar to other norprogestins.

Long-term use of dienogest for the treatment of endometriosis. Int J Womens Health.

Moderate or marked global improvement was recorded in J Obstet Gynaecol Res. As endometriosis is a chronic disease, consideration should be given not only to the efficacy but also to the long-term safety and tolerability of the treatment options that are available.

Differences in characteristics among 1, women with endometriosis based on extent of disease. The discontinuation rate due to treatment-related adverse events was 5.

Dienogest Better to Treat Endometriosis than Esmya, Duphaston, Study Says

These studies demonstrated that dienogest 2 mg daily effectively alleviates the painful symptoms of endometriosis, reduces endometriotic lesions, and improves indices of quality of life.

Hormone treatment of endometriosis: Dienogest 2 mg once daily was reported in these trials to be generally safe and well tolerated for the treatment of endometriosis. In exploratory models of endometriosis, dienogest also demonstrates antiproliferative, anti-inflammatory, and antiangiogenic effects. The trial concluded that dienogest 2 mg once a day was the lowest effective dose. Adverse events AEs were defined as any unfavorable and unintended sign, symptom, or disease occurring with the use of study medication.


AEs in the pooled population treated with dienogest 2 mg were generally mild or moderate in intensity and were associated with low premature discontinuation rates.

Specific medical therapies that are approved for diejogest treatment of endometriosis include gonadotropin-releasing hormone GnRH agonists, danazol, and certain progestins. By accessing the work you hereby accept the Terms.

Dienogest can be started on any day of the menstrual cycle. However, some women may still need analgesia for their pelvic pain. Effective management of endometriosis over the longer term is an important objective. Following cessation of dienogest treatment, menses returned to normal.

Dienogest Treatment Reduces Endometriosis Lesions Better than Duphaston or Esmya, Mouse Study Shows

Management of pelvic pain from dysmenorrhea or endometriosis. Home Journals Why publish with us?

Effective long-term management of endometriosis is a significant clinical objective in view of the debilitating nature of this often chronic condition. Several features of this site will xienogest function whilst javascript is disabled. Large proportions of the women who were questioned expressed a willingness to continue dienogest treatment.