The effects of hormone replacement on the biomechanical properties of the uterosacral and round ligaments in the monkey model

Autor: Richard J. Scotti, Felicia Cosman, J. Mark Cline, Magdy S. Mikhail, J. Koudy Williams, A. Orahn Preiss-Bloom, Michael D. Vardy, Robert Lindsay, Thomas R. Gardner
Rok vydání: 2005
Předmět:
Zdroj: American Journal of Obstetrics and Gynecology. 192:1741-1751
ISSN: 0002-9378
DOI: 10.1016/j.ajog.2004.10.639
Popis: The purpose of this study was to determine effects of ovariectomy (OVX) and conjugated equine estrogens plus medroxyprogesterone acetate (CEE/MPA), or ethinyl estradiol plus norethindrone acetate (EE/NA) on biomechanics of uterosacral (USL) and round (RL) ligaments in postmenopausal (PMP) monkeys.This was a randomized, triple blind, placebo-controlled study. OVX monkeys received 12 months no treatment (Pbo) (n = 19), CEE/MPA (n = 19), or EE/NA (n = 21). USL and RL step strains and stress-relaxation data were curve-fitted, giving strain-dependent tensile modulus (TM) from 0% to 30%.(1) USL: TM for both treatment groups was greater than Pbo for strains from 0% to 12% (P.04). (2) RL: TM for both treatment groups was smaller than Pbo for strains from 12% to 30% (P.05). No differences were found between treatment regimens.CEE/MPA and EE/NA both affect functional biomechanical properties by increasing tensile stiffness in the USL and decreasing it in the RL.
Databáze: OpenAIRE