Comparing the Use of Dienogest and Combined Oral Contraceptive Pills (Microgynon) to Reduce the Risk of Recurrence of Endometriotic Cyst After Conservative Surgery
Study Details
Study Description
Brief Summary
The purpose of the study is to compare the recurrence of endometriotic cyst in patients taking Dienogest or Microgynon after conservative surgery.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Dienogest
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Drug: Dienogest
The dienogest group will receive dienogest 2mg daily for 24 months postoperatively
Other Names:
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Active Comparator: Combined oral contraceptive pills
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Drug: Microgynon
The combined oral contraceptive pills group will be given cyclical Microgynon for 24 months.
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Outcome Measures
Primary Outcome Measures
- Recurrence of ovarian endometrioma [2 years]
Time to recurrence by sonography (months)
- Recurrence of ovarian endometrioma [2 years]
Size of recurrent endometrioma on sonography (mean diameter in centimeters)
Secondary Outcome Measures
- Side effects [2 years]
Days of irregular bleeding
- Symptoms of endometriosis [2 years]
Pain by visual analog score
- Need for additional analgesics [2 years]
Types of analgesics used
Eligibility Criteria
Criteria
Inclusion Criteria:
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Good general health
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Older than the age of legal consent (i.e. 18 years old)
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Sonographic diagnosis of ovarian endometrioma with diameter at least 4cm on 2 separate scans at least 6 weeks apart
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No contraindication to use of progesterone or combined oral contraceptive pills
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Not attempting to conceive either at the time of study entry or for at least 2 years after surgery
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Willing and able to participate after the study has been explained
Exclusion Criteria:
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Operative findings not suggestive of endometriotic cyst
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Contraindications to progestogens or oral contraceptive pills
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Unwillingness to tolerate menstrual irregularity
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Planning pregnancy within 2 years of study
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Cannot understand English, Cantonese or Putonghua
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Queen Mary Hospital | Hong Kong | Hong Kong | 000000 |
Sponsors and Collaborators
- The University of Hong Kong
Investigators
- Principal Investigator: Jennifer K.Y. Ko, MBBS, MRCOG, The University of Hong Kong, Queen Mary Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- UW 14-097