PMID- 26217921 OWN - NLM STAT- MEDLINE DCOM- 20160617 LR - 20201209 IS - 1473-0766 (Electronic) IS - 0951-3590 (Linking) VI - 31 IP - 7 DP - 2015 Jul TI - Effectiveness, tolerability and acceptance of a low-dosed estradiol/dienogest formulation (Lafamme 1 mg/2 mg) for the treatment of menopausal complaints: a non-interventional observational study over 6 cycles of 28 days. PG - 560-4 LID - 10.3109/09513590.2015.1024220 [doi] AB - BACKGROUND: Concern and controversy characterize nowadays the use of hormone therapy for management of patients with menopausal complaints. This observational non-interventional study examined the use of a marketed oral formulation containing 1 mg estradiol valerate and 2 mg dienogest for treatment of menopausal symptoms in 1292 women visiting 243 gynecological practices in Germany. METHODS: Score changes in the Menopausal Rating Scale (MRS) after three and six 28-day cycles were primary endpoints. Subjective reports on skin- and hair-related complaints and satisfaction with treatment effects were assessed. The incidence of adverse drug reactions (ADRs), adverse events (AEs) and vaginal bleeding was evaluated. RESULTS: MRS total score decreased substantially and stronger than the clinically relevant change of 5 points (p < 0.0001) as compared with baseline. Subjective skin- and hair-related complaints declined. No unexpected ADRs were reported. AEs (including ADRs) were registered in 8.8% of the participants; most frequent AEs/ADRs were postmenopausal hemorrhage (2.9%) and drug ineffective (1.4%). Nearly 76% of the subjects remained amenorrheic. Approximately 90% of the patients rated the medication's effectiveness/tolerability as good/very good; 84% intended to continue the treatment. CONCLUSION: This low-dose estradiol/dienogest formulation proved efficient and well-tolerated option for the alleviation of menopausal symptoms associated with estrogen deficiency. FAU - Rouskova, Daniela AU - Rouskova D AD - a Jenapharm GmbH & Co. KG, Medical Affairs , Jena , Germany and. FAU - Mittmann, Katrin AU - Mittmann K FAU - Schumacher, Ulrike AU - Schumacher U FAU - Dietrich, Horst AU - Dietrich H FAU - Zimmermann, Thomas AU - Zimmermann T LA - eng PT - Journal Article PT - Observational Study DEP - 20150728 PL - England TA - Gynecol Endocrinol JT - Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology JID - 8807913 RN - 0 (Androgens) RN - 0 (Drug Combinations) RN - 0 (Estrogens) RN - 0 (estradiol valerate-dienogest) RN - 4TI98Z838E (Estradiol) RN - 6PG9VR430D (Nandrolone) SB - IM MH - Androgens/administration & dosage/adverse effects/*pharmacology MH - Drug Combinations MH - Estradiol/administration & dosage/adverse effects/*analogs & derivatives/pharmacology MH - Estrogens/administration & dosage/adverse effects/*pharmacology MH - Female MH - Hormone Replacement Therapy/*methods MH - Humans MH - *Menopause/drug effects MH - Middle Aged MH - Nandrolone/administration & dosage/adverse effects/*analogs & derivatives/pharmacology MH - Outcome Assessment, Health Care/*statistics & numerical data MH - Patient Outcome Assessment OTO - NOTNLM OT - Estrogens OT - Menopause Rating Scale OT - hormone replacement therapy OT - menpopause OT - progesterone EDAT- 2015/07/29 06:00 MHDA- 2016/06/18 06:00 CRDT- 2015/07/29 06:00 PHST- 2015/07/29 06:00 [entrez] PHST- 2015/07/29 06:00 [pubmed] PHST- 2016/06/18 06:00 [medline] AID - 10.3109/09513590.2015.1024220 [doi] PST - ppublish SO - Gynecol Endocrinol. 2015 Jul;31(7):560-4. doi: 10.3109/09513590.2015.1024220. Epub 2015 Jul 28.