Effect of an herbal medicine on the level of gonadotropins and estrogen metabolites in patients with benign breast diseases concurrent with mastalgia

DOI

https://dx.doi.org/10.18565/aig.2019.1.126-132

Yavorskaya S.D., Sycheva M.S., Korenovsky Yu.V.
Altai State Medical University, Ministry of Health of the Russian Federation, Barnaul

Objective. To determine the effectiveness of the homeopathic herbal preparation Mastodynon (Bionorica SE, Germany) in treatment of benign breast diseases concurrent with mastalgia in reproductive-aged patients and its effect on the level of gonadotropins and estrogen metabolites.
Subjects and methods. A prospective, open-label, monocenter study was conducted in a small group (n = 20) to assess results before and after a course of therapy. The patients mean age was 32.8 ± 3.1 years. The assessment points were a pain level on a visual analogue scale (VAS); breast tissue density determined by ultrasound; the blood levels of follicle-stimulating hormone, prolactin, and estradiol and the urinary levels of 6 estrogen metabolites (4-OHE1, 2-OHE1, 2-OHE2, 16α-OHE1, 2-OMeE1, and 4-OMeE1), as well as 2-OHE1+2-OHE2/16α-OHE1 and 2-OHE1/2-OMeE1 ratios.
Results. The breast pain intensity according to VAS ranged from 40 to 95 mm (52.76 ± 15.38 mm) at baseline; 27.42 ± 11.78 mm at a month after therapy initiation (p = 0.0001) and 7.4 ± 8.5 mm after 90 days of therapy (p < 0.0001); mastalgia completely disappeared in 40% of cases. After the course of therapy, an improvement in the breast structure was noted in 80.0%, significantly more often in mastopathy with a predominance of the glandular component (80% and 30%; p = 0.004). All the patients had normal baseline blood estrogen concentrations
however in 60% of cases it was showed a higher urinary levels of a number of estrogen metabolites; after the course of therapy, the profile of estrogen metabolites in all the patients returned to normal; the 2-OHE1+2-OHE2/16α-OHE1 ratio increased 2.4-fold (2.4 ± 1.03 and 5.76±6.9; p = 0.02).
Conclusion. The 90-day use of Mastodynon in patients with benign breast diseases concurrent with mastalgia leads to a 7.1-fold decrease in its severity, to an improvement in the breast structure diagnosed by ultrasound in 80.0% of cases, and to a 2.4-fold increase in the 2-OHE1+2-OHE2/16α-OHE1 ratio.

mastalgia

benign breast disease

phytotherapy

estrogen metabolites

Full text (in Russian)

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Received 29.11.2018

Accepted 07.12.2018

Yavorskaya, Svetlana D., MD, professor of the department of obstetrics and gynecology with the course of DPO FSBEI of HE Altai state medical University of Ministry
of health, Russia.
656038, Russia, Altai Krai, Barnaul, Lenin ave. 40. Tel.: +73852368587. E-mail: L2001@bk.ru
Sycheva, Maria S., student of the medical faculty of the Altai state medical University of the Ministry of health, Russia.
656038, Russia, Altai Krai, Barnaul, Lenin ave. 40. Tel.: +79069449320. E-mail: sy4eva.mariya@yandex.ru
Korenovsky, Yuri V., PhD, head of the department of general and biological chemistry, clinical laboratory diagnostics of DPO FSBEI of HE Altai state medical University
of Ministry of health, Russia. 656038, Russia, Altai Krai, Barnaul, Lenin ave. 40. Tel.: +73852241392. E-mail: timidin@gmail.com

For citations: Yavorskaya S.D., Sycheva M.S., Korenovsky Yu.V. Effect of an herbal medicine on the level of gonadotropins and estrogen metabolites in patients with benign breast diseases concurrent with mastalgia. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; (1): 126-32. (in Russian)
http://dx.doi.org/10.18565/aig.2019.1.126-132

Effect of an herbal medicine on the level of gonadotropins and estrogen metabolites in patients with benign breast diseases concurrent with mastalgia

Yavorskaya S.D., Sycheva M.S., Korenovsky Yu.V.

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