Comparison of two oral contraceptive forms containing cyproterone acetate and drospirenone in the treatment of patients with polycystic ovary syndrome: a randomized clinical trial

Purpose To compare the effects of combined oral contraceptives (OCs) containing cyproterone acetate and drospirenone in the treatment of polycystic ovary syndrome (PCOS). Methods Fifty-two patients with PCOS were randomized in two groups: group A ( n  = 26) received 0.035 mg ethinyl estradiol + 2 mg...

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Veröffentlicht in:Archives of gynecology and obstetrics 2014-08, Vol.290 (2), p.321-328
Hauptverfasser: Kahraman, Korhan, Şükür, Yavuz Emre, Atabekoğlu, Cem Somer, Ateş, Can, Taşkın, Salih, Çetinkaya, Şerife Esra, Tolunay, Harun Egemen, Özmen, Batuhan, Sönmezer, Murat, Berker, Bülent
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container_issue 2
container_start_page 321
container_title Archives of gynecology and obstetrics
container_volume 290
creator Kahraman, Korhan
Şükür, Yavuz Emre
Atabekoğlu, Cem Somer
Ateş, Can
Taşkın, Salih
Çetinkaya, Şerife Esra
Tolunay, Harun Egemen
Özmen, Batuhan
Sönmezer, Murat
Berker, Bülent
description Purpose To compare the effects of combined oral contraceptives (OCs) containing cyproterone acetate and drospirenone in the treatment of polycystic ovary syndrome (PCOS). Methods Fifty-two patients with PCOS were randomized in two groups: group A ( n  = 26) received 0.035 mg ethinyl estradiol + 2 mg cyproterone acetate and group B ( n  = 26) received 0.03 mg ethinyl estradiol + 3 mg drospirenone-containing OCs for 12 months. Baseline clinical features including body mass index, waist to hip ratio (WHR), and modified Ferriman-Gallwey (mFG) score were noted. Baseline biochemical parameters included androgen profile, carbohydrate metabolism, lipid profile, and oxidative stress. The percentages of changes for all parameters were compared. Results The groups were comparable regarding the baseline characteristics. WHR decreased significantly from baseline (−4 % [−31 to 35]) in group B when compared to group A (0 % [−11 to 14]) ( P  = 0.033). The total mFG score decreased significantly from baseline (−35 % [−71 to 10]) in group A when compared to group B (−18 % [−72 to 30]) ( P  = 0.035). Changes in androgen hormone profile were comparable except DHEA-SO 4 (−32 % [−53 to 15] in group B vs. −10 % [−49 to 63] in group A; P  = 0.046). The effects of the drugs were similar regarding carbohydrate metabolism, lipid profile, and oxidative stress parameters. Conclusions Cyproterone acetate containing OCs seem to be more effective to treat clinical hirsutism in patients with PCOS after 12 months of treatment.
doi_str_mv 10.1007/s00404-014-3217-5
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Methods Fifty-two patients with PCOS were randomized in two groups: group A ( n  = 26) received 0.035 mg ethinyl estradiol + 2 mg cyproterone acetate and group B ( n  = 26) received 0.03 mg ethinyl estradiol + 3 mg drospirenone-containing OCs for 12 months. Baseline clinical features including body mass index, waist to hip ratio (WHR), and modified Ferriman-Gallwey (mFG) score were noted. Baseline biochemical parameters included androgen profile, carbohydrate metabolism, lipid profile, and oxidative stress. The percentages of changes for all parameters were compared. Results The groups were comparable regarding the baseline characteristics. WHR decreased significantly from baseline (−4 % [−31 to 35]) in group B when compared to group A (0 % [−11 to 14]) ( P  = 0.033). The total mFG score decreased significantly from baseline (−35 % [−71 to 10]) in group A when compared to group B (−18 % [−72 to 30]) ( P  = 0.035). Changes in androgen hormone profile were comparable except DHEA-SO 4 (−32 % [−53 to 15] in group B vs. −10 % [−49 to 63] in group A; P  = 0.046). The effects of the drugs were similar regarding carbohydrate metabolism, lipid profile, and oxidative stress parameters. Conclusions Cyproterone acetate containing OCs seem to be more effective to treat clinical hirsutism in patients with PCOS after 12 months of treatment.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-014-3217-5</identifier><identifier>PMID: 24676694</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Androgen Antagonists - therapeutic use ; Androgens ; Androgens - blood ; Androstenes - therapeutic use ; Biomarkers - blood ; Body Mass Index ; Carbohydrate Metabolism ; Clinical trials ; Contraceptives, Oral, Combined - administration &amp; dosage ; Contraceptives, Oral, Combined - therapeutic use ; Cyproterone Acetate - therapeutic use ; Endocrinology ; Estrogens - therapeutic use ; Ethinyl Estradiol - therapeutic use ; Female ; General Gynecology ; Gynecology ; Human Genetics ; Humans ; Lipids - blood ; Medicine ; Medicine &amp; Public Health ; Metabolism ; Mineralocorticoid Receptor Antagonists - therapeutic use ; Obstetrics/Perinatology/Midwifery ; Oxidative Stress ; Polycystic ovary syndrome ; Polycystic Ovary Syndrome - drug therapy ; Treatment Outcome ; Turkey ; Waist-Hip Ratio</subject><ispartof>Archives of gynecology and obstetrics, 2014-08, Vol.290 (2), p.321-328</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2014). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-8a137a9e3d9180bf47ae648c078abb6de88939b58dac30ccba3592c7d58c60283</citedby><cites>FETCH-LOGICAL-c442t-8a137a9e3d9180bf47ae648c078abb6de88939b58dac30ccba3592c7d58c60283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-014-3217-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-014-3217-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24676694$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kahraman, Korhan</creatorcontrib><creatorcontrib>Şükür, Yavuz Emre</creatorcontrib><creatorcontrib>Atabekoğlu, Cem Somer</creatorcontrib><creatorcontrib>Ateş, Can</creatorcontrib><creatorcontrib>Taşkın, Salih</creatorcontrib><creatorcontrib>Çetinkaya, Şerife Esra</creatorcontrib><creatorcontrib>Tolunay, Harun Egemen</creatorcontrib><creatorcontrib>Özmen, Batuhan</creatorcontrib><creatorcontrib>Sönmezer, Murat</creatorcontrib><creatorcontrib>Berker, Bülent</creatorcontrib><title>Comparison of two oral contraceptive forms containing cyproterone acetate and drospirenone in the treatment of patients with polycystic ovary syndrome: a randomized clinical trial</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Purpose To compare the effects of combined oral contraceptives (OCs) containing cyproterone acetate and drospirenone in the treatment of polycystic ovary syndrome (PCOS). Methods Fifty-two patients with PCOS were randomized in two groups: group A ( n  = 26) received 0.035 mg ethinyl estradiol + 2 mg cyproterone acetate and group B ( n  = 26) received 0.03 mg ethinyl estradiol + 3 mg drospirenone-containing OCs for 12 months. Baseline clinical features including body mass index, waist to hip ratio (WHR), and modified Ferriman-Gallwey (mFG) score were noted. Baseline biochemical parameters included androgen profile, carbohydrate metabolism, lipid profile, and oxidative stress. The percentages of changes for all parameters were compared. Results The groups were comparable regarding the baseline characteristics. WHR decreased significantly from baseline (−4 % [−31 to 35]) in group B when compared to group A (0 % [−11 to 14]) ( P  = 0.033). The total mFG score decreased significantly from baseline (−35 % [−71 to 10]) in group A when compared to group B (−18 % [−72 to 30]) ( P  = 0.035). Changes in androgen hormone profile were comparable except DHEA-SO 4 (−32 % [−53 to 15] in group B vs. −10 % [−49 to 63] in group A; P  = 0.046). The effects of the drugs were similar regarding carbohydrate metabolism, lipid profile, and oxidative stress parameters. 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Public Health</subject><subject>Metabolism</subject><subject>Mineralocorticoid Receptor Antagonists - therapeutic use</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Oxidative Stress</subject><subject>Polycystic ovary syndrome</subject><subject>Polycystic Ovary Syndrome - drug therapy</subject><subject>Treatment Outcome</subject><subject>Turkey</subject><subject>Waist-Hip Ratio</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kctu1TAQhi1ERQ-FB2CDLLFhE-pbbIcdOioXqVI3sLYcZ9K6Suxg-7QKr8UL4nAKSEhdzcjzzT8z_hF6Rck7Sog6z4QIIhpCRcMZVU37BO2o4KwhitKnaEe6LSdSnaLnOd8SQpnW8hk6ZUIqKTuxQz_3cV5s8jkGHEdc7iOOyU7YxVCSdbAUfwd4jGnOv9-sDz5cY7cuKRZIMQCuVLGlxjDgIcW8-ARhK_iAyw3gksCWGULZBiy2-JpmfO_LDV7itLo1F-9wvLNpxXkNVWKG99jiVAXj7H_AgN1Ux7q6VkneTi_QyWinDC8f4hn69vHi6_5zc3n16cv-w2XjhGCl0ZZyZTvgQ0c16UehLEihHVHa9r0cQOuOd32rB-s4ca63vO2YU0OrnSRM8zP09qhbb_1-gFzM7LODabIB4iEb2grJGOXthr75D72NhxTqdoYxSbVqJWWVokfK1W_KCUazJD_Xuw0lZnPUHB011VGzOWra2vP6QfnQzzD87fhjYQXYEci1FK4h_Rv9uOovtTqwjw</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Kahraman, Korhan</creator><creator>Şükür, Yavuz Emre</creator><creator>Atabekoğlu, Cem Somer</creator><creator>Ateş, Can</creator><creator>Taşkın, Salih</creator><creator>Çetinkaya, Şerife Esra</creator><creator>Tolunay, Harun Egemen</creator><creator>Özmen, Batuhan</creator><creator>Sönmezer, Murat</creator><creator>Berker, Bülent</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140801</creationdate><title>Comparison of two oral contraceptive forms containing cyproterone acetate and drospirenone in the treatment of patients with polycystic ovary syndrome: a randomized clinical trial</title><author>Kahraman, Korhan ; Şükür, Yavuz Emre ; Atabekoğlu, Cem Somer ; Ateş, Can ; Taşkın, Salih ; Çetinkaya, Şerife Esra ; Tolunay, Harun Egemen ; Özmen, Batuhan ; Sönmezer, Murat ; Berker, Bülent</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-8a137a9e3d9180bf47ae648c078abb6de88939b58dac30ccba3592c7d58c60283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Androgen Antagonists - therapeutic use</topic><topic>Androgens</topic><topic>Androgens - blood</topic><topic>Androstenes - therapeutic use</topic><topic>Biomarkers - blood</topic><topic>Body Mass Index</topic><topic>Carbohydrate Metabolism</topic><topic>Clinical trials</topic><topic>Contraceptives, Oral, Combined - administration &amp; dosage</topic><topic>Contraceptives, Oral, Combined - therapeutic use</topic><topic>Cyproterone Acetate - therapeutic use</topic><topic>Endocrinology</topic><topic>Estrogens - therapeutic use</topic><topic>Ethinyl Estradiol - therapeutic use</topic><topic>Female</topic><topic>General Gynecology</topic><topic>Gynecology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Lipids - blood</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Metabolism</topic><topic>Mineralocorticoid Receptor Antagonists - therapeutic use</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Oxidative Stress</topic><topic>Polycystic ovary syndrome</topic><topic>Polycystic Ovary Syndrome - drug therapy</topic><topic>Treatment Outcome</topic><topic>Turkey</topic><topic>Waist-Hip Ratio</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kahraman, Korhan</creatorcontrib><creatorcontrib>Şükür, Yavuz Emre</creatorcontrib><creatorcontrib>Atabekoğlu, Cem Somer</creatorcontrib><creatorcontrib>Ateş, Can</creatorcontrib><creatorcontrib>Taşkın, Salih</creatorcontrib><creatorcontrib>Çetinkaya, Şerife Esra</creatorcontrib><creatorcontrib>Tolunay, Harun Egemen</creatorcontrib><creatorcontrib>Özmen, Batuhan</creatorcontrib><creatorcontrib>Sönmezer, Murat</creatorcontrib><creatorcontrib>Berker, Bülent</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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Methods Fifty-two patients with PCOS were randomized in two groups: group A ( n  = 26) received 0.035 mg ethinyl estradiol + 2 mg cyproterone acetate and group B ( n  = 26) received 0.03 mg ethinyl estradiol + 3 mg drospirenone-containing OCs for 12 months. Baseline clinical features including body mass index, waist to hip ratio (WHR), and modified Ferriman-Gallwey (mFG) score were noted. Baseline biochemical parameters included androgen profile, carbohydrate metabolism, lipid profile, and oxidative stress. The percentages of changes for all parameters were compared. Results The groups were comparable regarding the baseline characteristics. WHR decreased significantly from baseline (−4 % [−31 to 35]) in group B when compared to group A (0 % [−11 to 14]) ( P  = 0.033). The total mFG score decreased significantly from baseline (−35 % [−71 to 10]) in group A when compared to group B (−18 % [−72 to 30]) ( P  = 0.035). Changes in androgen hormone profile were comparable except DHEA-SO 4 (−32 % [−53 to 15] in group B vs. −10 % [−49 to 63] in group A; P  = 0.046). The effects of the drugs were similar regarding carbohydrate metabolism, lipid profile, and oxidative stress parameters. Conclusions Cyproterone acetate containing OCs seem to be more effective to treat clinical hirsutism in patients with PCOS after 12 months of treatment.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24676694</pmid><doi>10.1007/s00404-014-3217-5</doi><tpages>8</tpages></addata></record>
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source MEDLINE; SpringerLink Journals
subjects Adolescent
Adult
Androgen Antagonists - therapeutic use
Androgens
Androgens - blood
Androstenes - therapeutic use
Biomarkers - blood
Body Mass Index
Carbohydrate Metabolism
Clinical trials
Contraceptives, Oral, Combined - administration & dosage
Contraceptives, Oral, Combined - therapeutic use
Cyproterone Acetate - therapeutic use
Endocrinology
Estrogens - therapeutic use
Ethinyl Estradiol - therapeutic use
Female
General Gynecology
Gynecology
Human Genetics
Humans
Lipids - blood
Medicine
Medicine & Public Health
Metabolism
Mineralocorticoid Receptor Antagonists - therapeutic use
Obstetrics/Perinatology/Midwifery
Oxidative Stress
Polycystic ovary syndrome
Polycystic Ovary Syndrome - drug therapy
Treatment Outcome
Turkey
Waist-Hip Ratio
title Comparison of two oral contraceptive forms containing cyproterone acetate and drospirenone in the treatment of patients with polycystic ovary syndrome: a randomized clinical trial
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