Efficacy Of Cyproterone Acetate And Drosperinone Containing Cocps In Treatment Of Hirsutism In Patients With PCOS

Nazish Sarfraz, Humera Akram, Afroza Abbas, Sadaf Shaheen, Rida Zafar, Eesha Yaqoob
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Abstract

Introduction: Hirsutism is a condition characterized by excess hair growth on the face, chest, and/or back in women and it is often caused by an imbalance of hormones, such as androgens. OCPs prove to be effective in reducing hirsutism in patients with PCOS by inhibiting the production of androgens and decreasing the activity of androgen receptors. OCPs may have additional benefits for patients with PCOS, such as regulating menstrual cycles, improving fertility, and reducing the risk of endometrial cancer. However, OCPs may not be suitable for all women with PCOS. Methods: The study was conducted to investigate the effectiveness of these OCPs in reducing hirsutism in PCOS patients. In the study, 80 participants were included, 40 in the intervention group and 40 in the control group. The intervention group received a combination oral contraceptive pill containing cyproterone acetate and drosperinone (COCP) for a period of 6 months, while the control group received a placebo. Hirsutism was assessed at baseline and at the end of the 6-month treatment period using the Ferriman-Gallwey score. The primary outcome measure was the change in Ferriman-Gallwey score from baseline to the end of the treatment period. Results: The study found that OCPs containing cyproterone acetate and drosperinone were more effective in reducing hirsutism in patients with PCOS compared to OCPs containing levonorgestrel. Conclusion: It is important to note that OCPs may not be appropriate for all women with PCOS, therefore it's crucial to explore the risks and advantages with a healthcare professional before beginning therapy.
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醋酸环丙孕酮和含屈螺酮的椰子汁治疗多囊卵巢综合症患者多毛症的疗效
简介多毛症是一种以女性面部、胸部和/或背部毛发生长过多为特征的疾病,通常由雄激素等荷尔蒙失衡引起。事实证明,OCPs 可抑制雄激素的产生并降低雄激素受体的活性,从而有效减少多囊卵巢综合症患者的多毛症。OCPs 对多囊卵巢综合症患者可能还有其他好处,如调节月经周期、提高生育能力和降低子宫内膜癌的风险。然而,OCPs 可能并不适合所有患有多囊卵巢综合症的女性。 研究方法本研究旨在探讨这些 OCPs 在减少多囊卵巢综合征患者多毛症方面的有效性。研究共纳入 80 名参与者,其中干预组 40 人,对照组 40 人。干预组服用含有醋酸环丙孕酮和屈螺酮的复方口服避孕药(COCP),为期6个月,对照组服用安慰剂。在基线和 6 个月治疗期结束时,采用费里曼-高尔维评分法对多毛症进行评估。主要结果指标为从基线到治疗期结束时 Ferriman-Gallwey 评分的变化。 研究结果研究发现,与含左炔诺孕酮的 OCP 相比,含醋酸环丙孕酮和屈螺酮的 OCP 能更有效地减少多囊卵巢综合征患者的多毛症。 结论:需要注意的是,OCPs 并不适合所有多囊卵巢综合症女性,因此在开始治疗前,与医护人员探讨其风险和优势至关重要。
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