Improvement of quality of life and menopausal symptoms in climacteric women treated with low-dose monthly parenteral formulations of non-polymeric microspheres of 17β-estradiol/progesterone

Gynecol Endocrinol. 2016 Oct;32(10):831-834. doi: 10.1080/09513590.2016.1183628. Epub 2016 May 17.

Abstract

Objective: To evaluate the short term effect over menopausal symptoms and quality of life (QoL) of monthly parenteral formulations of 17β-estradiol (E)/progesterone (P) non-polymeric microspheres.

Methods: This is a secondary analysis of a multicenter, randomized, single-blinded study that included peri- and post-menopausal symptomatic women assigned to receive a monthly intramuscular injection of 0.5 mg E + 15 mg P (Group A, n = 34), 1 mg E + 20 mg P (Group B, n = 24), or 1 mg E + 30 mg P (Group C, n = 26) for 6 months. Intensity of menopausal symptoms was assessed before and after treatment with the Greene Climacteric Scale (GCS) and QoL with the Utian Quality of Life Scale (UQoLS).

Results: Menopausal symptoms improved for all groups at six months evidenced by lower cluster/sub-cluster GCS scores. Equally, there was an overall trend for QoL improvement for all groups evidenced by higher domain UQoLS scores at six months; but only significant for the emotional (Groups A and B) and occupational domains (Groups A and C).

Conclusion: The three low-dose continuous sequential intramuscular monthly formulations of E/P microspheres exerted a positive effect over menopausal symptoms and QoL. Long-term research is warranted with these formulations.

Clinical trial registration: Clinicaltrials.gov Identifiers NCT 00775242.

Trial registration: ClinicalTrials.gov NCT00775242.

Keywords: Climacteric; Greene Climacteric Scale; Utian Quality of Life Scale; estradiol; menopausal symptoms; non polymeric microspheres; quality of life.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Estradiol / administration & dosage
  • Estradiol / pharmacology*
  • Female
  • Gonadal Steroid Hormones / administration & dosage
  • Gonadal Steroid Hormones / pharmacology*
  • Humans
  • Injections, Intramuscular
  • Menopause / drug effects*
  • Microspheres
  • Middle Aged
  • Progesterone / administration & dosage
  • Progesterone / pharmacology*
  • Quality of Life*
  • Single-Blind Method
  • Treatment Outcome

Substances

  • Gonadal Steroid Hormones
  • Progesterone
  • Estradiol

Associated data

  • ClinicalTrials.gov/NCT00775242