Transdermal estrogens in assisted reproductive technology programs


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The paper presents historical data on the use of estrogens in gynecology. The advantages of transdermal drug formulations are shown to be the constant rate of release and absorption of the active ingredient, which ensure the minimal variability of its concentrations in the systemic circulation, greater bioavailability, and no effect of the ingredient on the gastrointestinal tract and metabolic profile. The authors analyze the currently available data on the use of transdermal estrogens in assisted reproductive technology programs in the most common clinical scenarios: donor oocyte/embryo and cryopreserved embryo transfers in patients with ovarian anovulation or depletion and a thin endometrium.

Full Text

Restricted Access

About the authors

Irina E. Korneeva

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: i_korneeva@oparina4.ru
PhD, Leading Researcher at Department of Preservation and Restoration of the Reproductive Function

Tatyana A. Nazarenko

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: t_nazarenko@oparina4.ru
Doctor of Medical Sciences, Professor, Chief Researcher, Moscow Research Institute of Obstetrics and Gynecology.

References

  1. van der Linden M., Buckingham K., Farquhar C., Kremer J.A., Metwally M. Luteal phase support for assisted reproduction cycles. Cochrane Database Syst. Rev. 2015; (7): CD009154.
  2. Noyes R.W., Hertig A.T., Rock J. Dating the endometrial biopsy. Fertil. Steril. 1950; 1(1): 1-25.
  3. Актина М.Б., Исакова Э.В., Калинина Е.Анат., Калинина Е.Андр., Корсак В.С., Краснопольская К.В., Назаренко Т.А., Серебренникова К.Г., Смирнова А.А., Смольникова В.Ю. Применение эстрогенов в программах ВРТ. Научно-практические рекомендации. Российская Ассоциация Репродукции Человека; 2015.
  4. Christensen N.C., Davidsen P.C., Secher N.J., Pedersen G.T. Serum lipids during oestradiol-valerate/norgestrel treatment of menopausal women. Double-blind study of a sequential preparation. Acta Obstet. Gynecol. Scand. 1975; 54(3): 213-6.
  5. Jones G.F. Physiology and management of the climacteric. Calif. Med. 1949; 71(5): 345-8.
  6. Цикло-Прогинова. Инструкция по медицинскому применению лекарственного препарата. Available at: http://pharma.bayer.ru/html/pdf/ instruction/Ciclo_proginova.pdf
  7. Samsioe G. Hormone replacement therapy: expanding treatment options with transdermal delivery. Curr. Ther. Res. 1999; 60: 161-7.
  8. Krishnaiah Y.S.R., Pavurala N., Yang Y., Manda P., Katragadda U., Yang Y. et al. In vitro drug transfer due to drug retention in human epidermis pretreated with application of marketed estradiol transdermal systems. AAPS Pharm.Sci.Tech. 2017; 18(6): 2131-40.
  9. Sitruk-Ware R. Transdermal delivery of steroids. Contraception. 1989; 39(1): 1-20.
  10. Xing M.M., Hui X., Zhong W., Pan N., Yaghmaie F., Maibach H.I. In vitro human topical bioactive drug transdermal absorption: estradiol. Cutan. Ocul. Toxicol. 2009; 28(4): 171-5.
  11. Järvinen A., Bäckström A., Elfström C., Viitanen A.Comparative absorption and variability in absorption of estradiol from a transdermal gel and a novel matrix-type transdermal patch. Maturitas. 2001; 38(2): 189-96.
  12. Jarvinen A., Nykanen S., Paasiniemi L. Absorption and bioavailability of oestradiol from a gel, a patch and a tablet. Maturitas. 1999; 32(2): 103-13.
  13. Paoletti A.M., Pilia I., Nannipieri F., Bigini C., Melis G.B. Comparison of pharmacokinetic profiles of a 17 beta-estradiol gel 0.6 mg/g (Gelestra) with a transdermal delivery system (Estraderm TTS 50) in postmenopausal women at steady state. Maturitas. 2001; 40(3): 203-9.
  14. Hirvonen E., Cacciatore B., Wahlström T., Rita H., Wilén-Rosenqvist G. Effects of transdermal oestrogen therapy in postmenopausal women: a comparative study of an oestradiol gel and an oestradiol delivering patch. Br. J. Obstet. Gynaecol. 1997; 104(Suppl.16): 26-31.
  15. Travassos de Figueiredo A., Amelia Sobreira Gomes M., Clapauch R. Comparison of gel and patch estradiol replacement in Brazil, a tropical country. Maturitas. 2000; 36(1): 69-74.
  16. Sentrakul P., Chompootaweep S., Sintupak S., Tasanapradit P., Tunsaringkarn K., Dusitsin N. Adverse skin reactions to transdermal oestradiol in tropical climate. A comparative study of skin tolerance after using oestradiol patch and gel in Thai postmenopausal women. Maturitas. 1991; 13(2): 151-4.
  17. De Geyter C., Calhaz-Jorge C., Kupka M.S., Wyns C., Mocanu E., Motrenko T. et al. ART in Europe, 2014: results generated from European registries by ESHRE: The European IVF-monitoring Consortium (EIM) for the European Society of Human Reproduction and Embryology (ESHRE). Hum. Reprod. 2018; 33(9): 1586-601.
  18. Российская Ассоциация Репродукции Человека (РАРЧ). Регистр ВРТ. Отчет за 2015 год. ОИб.; 2017. Available at: http://rahr.ru/d_registr_otchet/ RegistrVRT_2015.pdf
  19. Groenewoud E.R., Cantineau A.E., Kollen B.J., Macklon N.S., Cohlen B.J. What is the optimal means of preparing the endometrium in frozen-thawed embryo transfer cycles? A systematic review and meta-analysis. Hum. Reprod. Update. 2013; 19(5): 458-70.
  20. Sun Xian-hua., Zang Li-li., Zhang Quan., Zou Shu-hua. Administration of estrogen by different delivery routes in frozen-thawed embryo transfer. J. Reprod. Med. 2014; 23(1): 29-32.
  21. Shahrokh Tehraninejad E., Kabodmehri R., Hosein Rashidi B., Jafarabadi M., Keikha F., Masomi M., Hagholahi F. Trans dermal estrogen (oestrogel) for endometrial preparation in freeze embryo transfer cycle: An RCT. Int. J. Reprod. Biomed. (Yazd.). 2018; 16(1): 51-6.
  22. Song J., Gong F., Luo K-l. Application of percutaneous estradiol gel in frozen embryo transfer cycles. J. Reprod. Med. 2015; 24(7): 555-8.
  23. Madero S., Rodriguez A., Vassena R., Vernaeve V. Endometrial preparation: effect of estrogen dose and administration route on reproductive outcomes in oocyte donation cycles with fresh embryo transfer. Hum. Reprod. 2016; 31(8): 1755-64.
  24. Senturk L.M., Erel C.T. Thin endometrium in assisted reproductive technology. Curr. Opin. Obstet. Gynecol. 2008; 20(3): 221-8.
  25. Kasius A., Smit J.G., Torrance H.L., Eijkemans M.J., Mol B.W., Opmeer B.C., Broekmans F.J. Endometrial thickness and pregnancy rates after IVF: a systematic review and meta-analysis. Hum. Reprod. Update. 2014; 20(4): 530-41.
  26. Волкова Е.Ю., Корнеева И.Е., Силантьева Е.С. Роль маточной гемодинамики в оценке рецептивности эндометрия. Проблемы репродукции. 2012; 18(2): 57-62.
  27. Chi Y., He P., Lei L., Lan Y., Hu J., Meng Y., Hu L. Transdermal estrogen gel and oral aspirin combination therapy improves fertility prognosis via the promotion of endometrial receptivity in moderate to severe intrauterine adhesion. Mol. Med. Rep. 2018; 17(5): 6337-44.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies