Recovery of bone density in women who stop using medroxyprogesterone acetate
Recovery of bone density in women who stop using medroxyprogesterone acetate
复制标题
停止使用醋酸甲羟孕酮的女性骨密度恢复
作者:
Tim Cundy;J. Cornish;M. Evans;Helen Roberts;Ian R. Reid
In order to determine whether the loss in bone density seen in users of depot medroxyprogesterone acetate is reversible, a comparative study was undertaken in three groups of women. Group 1 consisted of 14 women who had used the contraceptive for at least 3 years and then discontinued use. Group 2 was 22 longterm users, and Group 3 contained 18 women who had never used the drug and served as controls. Estrogen production resumed in all of the Group 1 women after discontinuation. Two bone density measurements were taken twice in each woman. At first measurement, lumbar spine density was an average of 9% lower in Groups 1 and 2 than in controls. At the second measurement, however, lumbar spine density had significantly increased in Group 1 while it remained the same for the other groups. No significant changes in femoral neck density were observed. Additional measurements in 8 women from Group 1 taken 2 years after discontinuation revealed a further significant increase in lumbar spine bone density. Thus, it was concluded that bone density loss is reversible, even in cases where women experience a significant weight loss after discontinuation.
DOI:
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发表时间:
1990
期刊:
Comprehensive therapy
影响因子:
--
作者:
Beresford,TP;Blow,FC;Brower,KJ
通讯作者:
Brower,KJ
DOI:
10.1210/jcem-68-2-412
发表时间:
1989
期刊:
The Journal of clinical endocrinology and metabolism
影响因子:
--
作者:
Schlechte,J;Dolan,K;Sherman,B;Chapler,F;Luciano,A
通讯作者:
Luciano,A