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Review, 1995

Can GnRHa hormone therapy treat premenstrual syndrome?

GnRHa is used to treat PMS, but a 6-month course causes about 8.2% bone loss that may not fully recover, which is a concern for long-term use.

Early or limited evidence Individuals with premenstrual syndrome, endometriosis, fibroids, and related conditions

What they did

Reviewed scientific literature on long-term GnRHa hormone therapy for various conditions including PMS, endometriosis, fibroids, and others.

What they found

GnRHa is used to treat PMS and related conditions. A 6-month course of GnRHa is associated with up to 8.2% decrease in lumbar bone density, which may not be entirely reversible 6 months after stopping the drug.

What it means for you

GnRHa can help PMS symptoms, but the bone loss is a significant drawback, especially if someone needs treatment longer than 6 months. The review suggests adding hormones back ('add-back' therapy) might reduce these side effects, but says more studies are needed.

8.2%

Decrease in lumbar bone density after 6 months of GnRHa

About the study

Original title
Long-term gonadotropin-releasing hormone agonist therapy: the evolving issue of steroidal "add-back" paradigms
Authors
Adashi EY
Journal
The Keio journal of medicine
Year
1995
Study design
Review
What was tested
Long-term GnRHa therapy with or without steroid add-back regimens
Open access
Yes

Topics