Ain-Shams Medical Journal. 2000; 51 (10-12): 1319-1330
em Inglês
| IMEMR
| ID: emr-53191
ABSTRACT
To investigate the effect of metformin on the endocrine variables in clomiphene resistant polycystic ovarian disease [PCOD]. Departments of Obstetrics and Gynaecology, Internal Medicine and Clinical Pathology, Faculty of Medicine, Tanta University, Egypt. Thirty-three infertile women due to PCOD were enrolled and divided into 23 cases received oral metformin 850 ma/ twice daily for 8 weeks and 10 cases received placebo for the same period. Basic hormonal parameters, serum glucose and insulin were tested before and after treatment. Metformin led to 65% improvement in acne score, 57% menstrual improvement and significant reduction of serum LH androstenedione, DHEAS, free testosterone, glucose and insulin. Highly significant elevation of SHBG was observed. The mean fasting insulin dropped from 28 uU/ml before to 16 uU/ml after therapy and this drop was significantly correlated to changes in testosterone, free testosterone, SHBG and glucose. Metformin may be suggested as a therapy for women with colomiphene resistant polycystic ovarian disease. It can ameliorate hyperinsulinemia, hyperadrogenemia with their impacton the restoration of regular menses and ovulation; and hence improving the pregnancy capability
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Glicemia
/
Resistência a Medicamentos
/
Clomifeno
/
Infertilidade Feminina
/
Insulina
/
Metformina
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Ain-Shams Med. J.
Ano de publicação:
2000
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