The reproductive and metabolic effect of rosiglitazone on Chinese women with polycystic ovarian syndrome--a double-blind randomized placebo-controlled study
| Autor: | Juliana C.N. Chan, Michelle Hang Yuet Tsui, Ronald C.W. Ma, Lai Ping Cheung, Michael Ho Ming Chan, Wing Hung Tam, Po Mui Lam, Francis C.C. Chow, Christopher J. Haines, Christopher W.K. Lam, Peter C.Y. Tong |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Placebo-controlled study Placebo law.invention Rosiglitazone Young Adult Randomized controlled trial Asian People Double-Blind Method law Internal medicine Medicine Humans Hypoglycemic Agents Testosterone Amenorrhea hirsutism Menstrual Cycle Gynecology Chi-Square Distribution business.industry Hyperandrogenism Obstetrics and Gynecology medicine.disease Placebo Effect Clinical trial Treatment Outcome Reproductive Medicine Hong Kong Female Thiazolidinediones medicine.symptom business medicine.drug Polycystic Ovary Syndrome |
| Zdroj: | Fertility and sterility. 96(2) |
| ISSN: | 1556-5653 |
| Popis: | Objective To investigate whether an insulin sensitizer has any effect on amenorrhea and clinical and biochemical hyperandrogenism in Chinese women with polycystic ovarian syndrome (PCOS). Design Randomized controlled double-blind trial. Setting A tertiary referral center, Hong Kong. Patient(s) Chinese women who fulfilled the Rotterdam criteria of PCOS (n = 70). Intervention(s) Rosiglitazone 4 mg daily for the first month followed by 4 mg twice daily for 11 months. Main Outcome Measure(s) Menstrual status as well as clinical and biochemical hyperandrogenism. Result(s) There is a significantly higher rate of regular menses among the treatment arm (16 [50.0%] of 32 vs 4 [11.8%] of 34) at 6 months and the improvement appeared to be sustained (10 [41.7%] of 24 vs 6 [20.0%] of 30) at 12 months. There was no change in the acne and hirsutism scores as well as serum T levels in both arms. Conclusion(s) We found a possible benefit in menstrual cyclicity but a lack of improvement in hyperandrogenism in our Chinese population. Clinical Trial Registration Number ChiCTR-TRC-09000670 (Chinese Clinical Trial Registry). |
| Databáze: | OpenAIRE |
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