Ultrasonographic Observation of the Breast in Early Postmenopausal Women during Therapy with Cimicifuga Foetida Extract and Sequential Therapy with Estrogen and Progestin  

作　　者：Sharen Gaowa Ai-Jun Sun Ying Jiang Fa-Wei He Ting-Ping Zheng Ya-Ping Wang 

机构地区：[1]Department of Health Management, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China [2]Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China [3]Department of Diagnostic Ultrasound, Peking Union Medical College Hospital, Chinese Academy o1 Medical Sciences and Peking Union Medical College, Beijing 100730. China

出　　处：《Chinese Medical Journal》2015年第8期1000-1004,共5页中华医学杂志（英文版）

摘　　要：Background： It is now recognized that Cimicifuga foetida （C. foetida） extract is effective in alleviating menopausal symptoms. But the durations reported were usually short, The aim of this study was to investigate the effects of C. fl）etida extract therapy and different estrogen and progesterone sequential therapies, on the breasts of early postmenopausal women. Methods： This was a prospective randomized trial. Ninety-six early menopausal women were recruited and randomly assigned into three groups treated with different therapies for 2 years. Patients were given C. foetida extract in Group A, estradiol valerate and medroxyprogesterone acetate in Group B, and estradiol valerate and progesterone in Group C. Ultrasonography was used to monitor changes in breast during treatment. Results： In comparing breast glandular section thickness before and after 1 and 2 years of treatment, no significant difference was observed in Group A （11.97 ± 2.84 mm vs. 12.09 ± 2.58 mm and 12.61 ± 3.73 mm, P 〉 0.05）; in Group B glandular section thickness had increased significantly （10.98 ± 2.34 mm vs. 11.84± 2.72 mm and 11.90 ± 3.33 mm, P 〈 0.05） after treatment, the same as Group C （ 11.56 ± 3.03 mm vs. 12.5 ± 3.57 mm and 12.22 ± 4.39 mm P 〈 0.05）. In comparing breast duct width betbre and after 1 and 2 years of treatment, no significant difference was seen in Group A （1.07 ± 0.19 mm vs. 1.02 ±0.18 mm and 0.98 ± 0.21 mm, P 〉 0.05）; in Group B the duct width had a downward trend after treatment （0.99 ± 0.14 mm vs. 0.96 ± 0.22 mm and 0.90 ± 0.18 mm, P 〈 0.05）, the same as Group C （ 1.07 ± 0.20 mm vs. 1.02 ± 0.17 mm and 0.91 ± 0.19 mm, P 〈 0.05）. The nodules detected before treatment had disappeared after 1 -year of treatment or exhibited no distinct changes in the three groups. However, new breast nodules had appeared after 2 years of treatment： There was one case in Group A, two cases in Group B and four cases in Group C, with breast hyperplasia after the molybdenum Background： It is now recognized that Cimicifuga foetida （C. foetida） extract is effective in alleviating menopausal symptoms. But the durations reported were usually short, The aim of this study was to investigate the effects of C. fl）etida extract therapy and different estrogen and progesterone sequential therapies, on the breasts of early postmenopausal women. Methods： This was a prospective randomized trial. Ninety-six early menopausal women were recruited and randomly assigned into three groups treated with different therapies for 2 years. Patients were given C. foetida extract in Group A, estradiol valerate and medroxyprogesterone acetate in Group B, and estradiol valerate and progesterone in Group C. Ultrasonography was used to monitor changes in breast during treatment. Results： In comparing breast glandular section thickness before and after 1 and 2 years of treatment, no significant difference was observed in Group A （11.97 ± 2.84 mm vs. 12.09 ± 2.58 mm and 12.61 ± 3.73 mm, P 〉 0.05）; in Group B glandular section thickness had increased significantly （10.98 ± 2.34 mm vs. 11.84± 2.72 mm and 11.90 ± 3.33 mm, P 〈 0.05） after treatment, the same as Group C （ 11.56 ± 3.03 mm vs. 12.5 ± 3.57 mm and 12.22 ± 4.39 mm P 〈 0.05）. In comparing breast duct width betbre and after 1 and 2 years of treatment, no significant difference was seen in Group A （1.07 ± 0.19 mm vs. 1.02 ±0.18 mm and 0.98 ± 0.21 mm, P 〉 0.05）; in Group B the duct width had a downward trend after treatment （0.99 ± 0.14 mm vs. 0.96 ± 0.22 mm and 0.90 ± 0.18 mm, P 〈 0.05）, the same as Group C （ 1.07 ± 0.20 mm vs. 1.02 ± 0.17 mm and 0.91 ± 0.19 mm, P 〈 0.05）. The nodules detected before treatment had disappeared after 1 -year of treatment or exhibited no distinct changes in the three groups. However, new breast nodules had appeared after 2 years of treatment： There was one case in Group A, two cases in Group B and four cases in Group C, with breast hyperplasia after the molybdenum

关 键 词：BREAST Cimicifuga Foetida Extract Hormone Replacement Therapy ULTRASOUND 

分 类 号：S858.2[农业科学—临床兽医学] TS202.3[农业科学—兽医学]