The Effects of Gonadotropin-Releasing Hormone Agonist Combined with Add-Back Therapy on Quality of Life for Adolescents with Endometriosis: A Randomized Controlled Trial.

Author: DiVastaAmy D, FeldmanHenry A, GordonCatherine M, HornsteinMark D, LauferMarc R, Sadler GallagherJenny, StokesNatalie A

Paper Details 
Original Abstract of the Article :
Use of gonadotropin-releasing hormone agonists (GnRHa) to treat endometriosis can cause mood and vasomotor side effects. "Add-back therapy," the combination of low-dose hormones, limits side effects but research is limited to adults. We sought to characterize quality of life (QOL) before treatment a...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/26927501

データ提供:米国国立医学図書館(NLM)

GnRHa Therapy for Adolescent Endometriosis: Navigating the Desert of Side Effects

Endometriosis, a painful condition affecting women of reproductive age, can significantly impact quality of life. While gonadotropin-releasing hormone agonists (GnRHa) offer effective treatment for endometriosis, they can also cause unpleasant side effects, such as mood changes and hot flashes. This study explores the use of 'add-back therapy', combining GnRHa with low-dose hormones, to mitigate these side effects in adolescent girls with endometriosis. The authors conducted a randomized controlled trial to compare two add-back regimens: one with norethindrone acetate (NA) and conjugated estrogens (CEE) and another with NA alone. Their findings provide valuable insights into the potential of add-back therapy to improve patient experience and enhance the effectiveness of GnRHa treatment for adolescent girls.

Add-Back Therapy: A Beacon of Hope in the Desert of Side Effects

The study found that the add-back regimen with both NA and CEE effectively prevented side effects associated with GnRHa therapy in adolescents, demonstrating the potential of this approach to improve patient quality of life. This research suggests that add-back therapy can enhance the tolerability and overall effectiveness of GnRHa treatment for adolescent girls with endometriosis. The findings are promising, paving the way for more personalized and effective treatment options for this challenging condition.

Navigating the Desert of Endometriosis: A Journey Towards Better Treatment

This study highlights the importance of individualized treatment approaches for endometriosis, particularly in adolescents. By considering the unique needs and potential side effects of treatment options, healthcare providers can tailor therapies to optimize outcomes and improve patient experience. This research underscores the ongoing need for research and innovation to develop safe and effective treatments that address the specific challenges faced by young women with endometriosis.

Dr. Camel's Conclusion

This study demonstrates the potential of add-back therapy to mitigate the side effects of GnRHa treatment for adolescent girls with endometriosis. The findings suggest that this approach can enhance patient quality of life and improve the overall effectiveness of treatment. This research highlights the importance of considering the unique needs of young women with endometriosis and striving to develop more personalized and effective treatment strategies to improve their health and well-being.

Date :
  1. Date Completed 2017-06-07
  2. Date Revised 2022-03-21
Further Info :

Pubmed ID

26927501

DOI: Digital Object Identifier

NIHMS764207

SNS
PICO Info
in preparation
Languages

English

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