Tskhay VB, Bakunina AA, Mikailli GT. Medical treatment of adenomyosis: a literature review. Gynecology. 2023;25(2):133–139. DOI: 10.26442/20795696.2023.2.202101
Медикаментозное лечение аденомиоза. Обзор литературы
Tskhay VB, Bakunina AA, Mikailli GT. Medical treatment of adenomyosis: a literature review. Gynecology. 2023;25(2):133–139. DOI: 10.26442/20795696.2023.2.202101
Аденомиоз – это гетерогенное гинекологическое заболевание с различными клиническими проявлениями, наиболее распространенными из которых являются обильные менструальные кровотечения и дисменорея. В статье представлен обзор современных знаний о методах медикаментозной терапии аденомиоза, основанных на современном понимании патогенеза этого заболевания. Выполнен поиск научных публикаций в базах данных Cochrane Library, PubMed, eLIBRARY по ключевым словам «аденомиоз», «медикаментозное лечение», «гормональная терапия» за 2017–2022 гг. Проанализированы и обобщены накопленные к настоящему времени научные данные о методах медикаментозного лечения аденомиоза у женщин репродуктивного возраста с использованием агонистов гонадотропин-рилизинг-гормона, ингибиторов ароматазы, мифепристона, внутриматочной спирали, высвобождающей левоноргестрел, комбинированных оральных контрацептивов, прогестинов.
Adenomyosis is a heterogeneous gynecologic disease with a range of clinical presentations, the most common being heavy menstrual bleeding and dysmenorrhea. This article provides an overview of current knowledge about the methods of medical therapy for adenomyosis, based on the current understanding of the pathogenesis of the disease. We searched for scientific publications in the Cochrane Library, PubMed, and eLIBRARY databases using the keywords "adenomyosis", "medical treatment", and "hormonal therapy" from 2017 to 2022. We analyzed and summarized the scientific data accumulated to date on the methods of medical treatment of adenomyosis in women of reproductive age using gonadotropin-releasing hormone agonists, aromatase inhibitors, mifepristone, a levonorgestrel-releasing intrauterine device, combined oral contraceptives, and progestins.
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2. Davydov AI, Tairova MB, Mikhaleva LM, et al. Adenomyosis. What Has Changed Since The Advent of ICD-11? Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2021;20(2):117-24 (in Russian). DOI:10.20953/1726-1678-2021-2-117-124
3. Moawad G, Kheil MH, Ayoubi JM, et al. Adenomyosis and infertility. J Assist Reprod Genet. 2022;39(5):1027-31. DOI:10.1007/s10815-022-02476-2
4. Donnez J, Stratopoulou CA, Dolmans MM. Uterine Adenomyosis: From Disease Pathogenesis to a New Medical Approach Using GnRH Antagonists. Int J Environ Res Public Health. 2021;18(19):9941. DOI:10.3390/ijerph18199941
5. Szubert M, Koziróg E, Olszak O, et al. Adenomyosis and Infertility-Review of Medical and Surgical Approaches. Int J Environ Res Public Health. 2021;18(3):1235. DOI:10.3390/ijerph18031235
6. Schrager S, Yogendran L, Marquez CM, Sadowski EA. Adenomyosis: Diagnosis and Management. Am Fam Physician. 2022;105(1):33-8.
7. Vannuccini S, Petraglia F. Recent advances in understanding and managing adenomyosis. F1000Res. 2019;8:F1000 Faculty Rev-283. DOI:10.12688/f1000research.17242.1
8. Chapron C, Vannuccini S, Santulli P, et al. Diagnosing adenomyosis: an integrated clinical and imaging approach. Hum Reprod Update. 2020;26(3):392-411. DOI:10.1093/humupd/dmz049
9. Orlov S, Jokubkiene L. Prevalence of endometriosis and adenomyosis at transvaginal ultrasound examination in symptomatic women. Acta Obstet Gynecol Scand. 2022;101(5):524-31. DOI:10.1111/aogs.14337
10. Pontis A, D'Alterio MN, Pirarba S, et al. Adenomyosis: a systematic review of medical treatment. Gynecol Endocrinol. 2016;32(9):696-700. DOI:10.1080/09513590.2016.1197200
11. Vannuccini S, Luisi S, Tosti C, et al. Role of medical therapy in the management of uterine adenomyosis. Fertil Steril. 2018;109(3):398-405. DOI:10.1016/j.fertnstert.2018.01.013
12. Baboo KD, Chen Z, Zhang X. Progress on medical treatment in the management of adenomyosis. Zhejiang Da Xue Xue Bao Yi Xue Ban. 2019;48(2):142-7. DOI:10.3785/j.issn.1008-9292.2019.04.04
13. Marjoribanks J, Ayeleke RO, Farquhar C, Proctor M. Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. Cochrane Database Syst Rev. 2015;2015(7):CD001751. DOI:10.1002/14651858.CD001751.pub3
14. Lethaby A, Augood C, Duckitt K, Farquhar C. Nonsteroidal anti-inflammatory drugs for heavy menstrual bleeding. Cochrane Database Syst Rev. 2007;(4):CD000400. DOI:10.1002/14651858.CD000400.pub2
15. Bofill Rodriguez M, Lethaby A, Farquhar C. Non-steroidal anti-inflammatory drugs for heavy menstrual bleeding. Cochrane Database Syst Rev. 2019;9(9):CD000400. DOI:10.1002/14651858.CD000400.pub4
16. Cope AG, Ainsworth AJ, Stewart EA. Current and Future Medical Therapies for Adenomyosis. Semin Reprod Med. 2020;38(2-03):151-6. DOI:10.1055/s-0040-1719016
17. Li L, Leng J, Jia S, Lang J. Treatment of symptomatic adenomyosis with the levonorgestrel-releasing intrauterine system. Int J Gynaecol Obstet. 2019;146(3):357-63. DOI:10.1002/ijgo.12887
18. Park DS, Kim ML, Song T, et al. Clinical experiences of the levonorgestrel-releasing intrauterine system in patients with large symptomatic adenomyosis. Taiwan J Obstet Gynecol. 2015;54(4):412-5. DOI:10.1016/j.tjog.2014.05.009
19. Rathinam KK, Abraham JJ, S HP, et al. Evaluation of pharmacological interventions in the management of adenomyosis: a systematic review. Eur J Clin Pharmacol. 2022;78(4):531-45. DOI:10.1007/s00228-021-03256-0
20. Chen S, Wang J, Sun W, et al. Efficacy of the levonorgestrel-releasing intrauterine device is associated with different subtypes of adenomyosis: a retrospective study. Ann Transl Med. 2020;8(21):1356. DOI:10.21037/atm-20-3420
21. Badawy AM, Elnashar AM, Mosbah AA. Aromatase inhibitors or gonadotropin-releasing hormone agonists for the management of uterine adenomyosis: a randomized controlled trial. Acta Obstet Gynecol Scand. 2012;91(4):489-95. DOI:10.1111/j.1600-0412.2012.01350.x
22. Ferrero S, Gillott DJ, Venturini PL, Remorgida V. Use of aromatase inhibitors to treat endometriosis-related pain symptoms: a systematic review. Reprod Biol Endocrinol. 2011;9:89. DOI:10.1186/1477-7827-9-89
23. Benetti-Pinto CL, Mira TAA, Yela DA, et al. Pharmacological Treatment for Symptomatic Adenomyosis: A Systematic Review. Tratamento farmacológico para adenomiose sintomática: revisão sistemática. Rev Bras Ginecol Obstet. 2019;41(9):564-74. DOI:10.1055/s-0039-1695737
24. Kobayashi H. Molecular Targets for Nonhormonal Treatment Based on a Multistep Process of Adenomyosis Development. Reprod Sci. 2023;30(3):743-60. DOI:10.1007/s43032-022-01036-4
25. Lin J, Ma H, Li H, et al. The Treatment of Complementary and Alternative Medicine on Female Infertility Caused by Endometrial Factors. Evid Based Complement Alternat Med. 2022;2022:4624311. DOI:10.1155/2022/4624311
26. Ebert AD, Макаренко Т.А., Цхай В.Б., и др. Альтернативные методы лечения эндометриоза: Ресвератрол и его комбинация с гормонотерапией. Сибирское медицинское обозрение. 2018;2:106-8 [Ebert AD, Makarenko TA, Tskhay VB, et al. Alternative Methods of Treatment of Endometriosis: Resveratrol and its Combination with Hormonotherapy. Siberian Medical Review. 2018;2:106-8 (in Russian)]. DOI:10.20333/2500136-2018-2-106-108
27. Brown J, Farquhar C. Endometriosis: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2014;2014(3):CD009590. DOI:10.1002/14651858.CD009590.pub2
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Авторы
В.Б. Цхай*1,2, А.А. Бакунина1, Г.Т. Микаиллы1
1 ФГБОУ ВО «Красноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого» Минздрава России, Красноярск, Россия;
2 ФГБУ «Федеральный Сибирский научно-клинический центр» ФМБА России, Красноярск, Россия
*tchai@yandex.ru
________________________________________________
Vitaly B. Tskhay*1,2, Anna A. Bakunina1, Gulnar T. Mikailli1
1 Voyno-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia;
2 Federal Siberian Research and Clinical Centre, Krasnoyarsk, Russia
*tchai@yandex.ru