ULIPRISTAL ACETATE: NEW POSSIBILITIES IN THE TREATMENT OF UTERINE LEIOMYOMA


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Resumo

Uterine myoma is the most common cause of hysterectomy, but contemporary patients prefer to avoid removal of the womb and to preserve fertility and femininity that they associate this organ with. In recent decade, the proved role of progesterone in stimulating the growth of uterine leiomyoma has aroused interest in the study of a possibility for the treatment of this disease with selective progesterone receptor modulators. The decrease in the sizes of uterine myoma, regardless of its baseline dimensions, due to performed therapy with ulipristal acetate maintains for at least 6 months after completing a course of treatment. Menstrual blood loss reduces from profuse bleeding with clots to moderate one and to the point of amenorrhea. At this stage, the indication for the use of ulipristal acetate 5 mg daily is preoperative therapy for the moderate and severe symptoms of uterine myoma in adult reproductive-aged women above 18 years of age with the investigated treatment duration of not more 3 months. This review gives the results of studying the efficacy and safety of ulipristal acetate in the treatment of uterine myoma and describes new possible prospects for use of ulipristal acetate in gynecology.

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Sobre autores

A. TIKHOMIROV

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Email: tikhomiroval@yandex.ru

V. KAZENASHEV

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Email: vkazenashev@mail.ru

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