Rapid endometrial preparation for hysteroscopic surgery with oral desogestrel plus vaginal raloxifene: a prospective, randomized pilot study

Fertil Steril. 2007 Sep;88(3):698-701. doi: 10.1016/j.fertnstert.2006.11.151. Epub 2007 Aug 6.

Abstract

Objective: To evaluate the effects after 10 days of an original treatment combining oral progestins with vaginal raloxifene to maximize the antiproliferative effect on the endometrium.

Design: Prospective, randomized, clinical pilot study.

Setting: Academic research environment.

Patient(s): Ninety women with endometrial polyps.

Intervention(s): On day 1 of the subsequent menstrual cycle, patients were randomized to receive oral desogestrel (n = 30) for 10 days combined with a tablet of raloxifene (60 mg) per vaginam (group A); oral desogestrel at 60 mg/day (n = 30; group B); or oral danazol at 200 mg, three times a day (n = 30; group C).

Main outcome measure(s): Ultrasound measurement of endometrial thickness on day 11 of both the pretreatment and treatment cycles, surgeon satisfaction (0 to 10, visual analogue scale), and side effects.

Result(s): At the second evaluation, the mean percentage reduction in endometrial thickness in group A was statistically significantly greater than in the other groups. Surgeon satisfaction in terms of endometrial thinning was also greater with group A.

Conclusion(s): Oral desogestrel plus vaginal raloxifene provides a fast, low-cost, and satisfactory preparation of the endometrium for operative hysteroscopy.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Combined Modality Therapy
  • Contraceptives, Oral, Synthetic / therapeutic use
  • Desogestrel / therapeutic use*
  • Drug Therapy, Combination
  • Endometrium / pathology*
  • Estrogen Antagonists / therapeutic use
  • Female
  • Humans
  • Hysteroscopy
  • Menstrual Cycle
  • Pilot Projects
  • Polyps / drug therapy*
  • Polyps / surgery*
  • Premenopause
  • Raloxifene Hydrochloride / therapeutic use*
  • Treatment Outcome
  • Uterine Diseases / drug therapy
  • Uterine Diseases / pathology*
  • Uterine Diseases / surgery*

Substances

  • Contraceptives, Oral, Synthetic
  • Estrogen Antagonists
  • Raloxifene Hydrochloride
  • Desogestrel