Results of treatment of mastalgia in women of different ages with indolcarbinol
Burdina I.I., Zapirova S.B., Rozhkova N.I., Labazanova P.G., Mazo M.L., Prokopenko S.P., Mikushin S.Yu.
Objective: Study of the efficacy of an indolcarbinol-based drug for the treatment of mastalgia in women of various age.
Materials and methods: The study was conducted over a one-year period. A comprehensive breast examination was performed on patients had pain of varying intensity. The study included a clinical examination, mammography, and sonography. A questionnaire was offered at the first visit and every 6 months thereafter. An indolcarbinol-based drug Indinol Forto (registered in the Russian Federation) was used for the pathogenetic anti-relapse treatment of diffuse benign breast diseases.
Results: 121 female patients aged 20–65 years were enrolled in the study. Many of these women underwent a long-term follow-up for mastopathy of diverse forms and severity. Six months after taking indolcarbinol, most patients reported a reduction or absence of breast tenderness, an improvement in their psychoemotional state, and enhanced quality of life. A positive therapy effect of varying degrees was observed in 83% of patients. Stabilization of indolcarbinol-based positive effect was observed in 79% of cases one-year post-treatment.
Conclusion: Indolcarbinol demonstrated high effectiveness and good tolerability for the treatment of mastopathy, improving the quality of patients’ life.
Authors’ contributions: Burdina I.I., Zapirova S.B., Rozhkova N.I., Labazanova P.G., Mazo M.L., Prokopenko S.P.,
Mikushin S.Yu. – study concept and design, data collection and processing, manuscript composition and editing.
Conflicts of interest: The authors declare no conflicts of interest.
Funding: The study had no sponsorship support.
Patient Consent for Publication: All patients provided informed consent for the publication of their data and associated images.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Burdina I.I., Zapirova S.B., Rozhkova N.I., Labazanova P.G., Mazo M.L., Prokopenko S.P.,
Mikushin S.Yu. Results of treatment of mastalgia in women of different ages with indolcarbinol.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2026; (1): 90-96 (in Russian)
https://dx.doi.org/10.18565/aig.2025.369
Keywords
References
- Ашрафян Л.А., Рожкова Н.И., Прокопенко С.П., Меских Е.В., Артымук Н.В., Белоцерковцева Л.Д., Долгушина В.Ф., Коротких Н.В., Кузнецова Л.В., Кукарская И.И., Кононенко Т.С., Марочко Т.Ю., Соколов К.А., Вербицкая Ю.С. Влияние препарата индолкарбинола на течение циклической масталгии на фоне доброкачественной дисплазии молочной железы в условиях рутинной клинической практики (исследование «АФРОДИТА»). Акушерство и гинекология. 2024; 2: 134-42. [Ashrafyan L.A., Rozhkova N.I., Prokopenko S.P., Meskikh E.V., Artymuk N.V., Belotserkovtseva L.D., Dolgushina V.F., Korotkikh N.V., Kuznetsova L.V., Kukarskaya I.I., Kononenko T.S., Marochko T.Yu., Sokolov K.A., Verbitskaya Yu.S. The effect of the indolcarbinol on cyclic mastalgia in benign mammary dysplasia in routine clinical practice (“APHRODITE” study). Obstetrics and Gynecology. 2024; (2): 134-42 (in Russian)]. https://dx.doi.org/10.18565/aig.2024.35
- Бурдина Л.М. Основные принципы лечения диффузных доброкачественных патологических изменений молочных желез. Маммология. 1996; 4: 9-14. [Burdina L.M. Basic principles of treatment of diffuse benign pathological changes of mammary glands. Mammology. 1996; (4): 9-14 (in Russian)].
- Муйжнек Е.Л., Киселев В.И., Рожкова Н.И., Ашрафян Л.А. Между мастопатией и раком молочной железы: факторы риска и патогенетическое лечение. М.: ГЭОТАР-Медиа; 2024. 336 с. [Muizhnek E.L., Kiselev V.I., Rozhkova N.I., Ashrafyan L.A. Between mastopathy and breast cancer: risk factors and pathogenetic treatment. Moscow: GEOTAR-Media; 2024. 336 p. (in Russian)].
- Седакова И.Е., Александров А.И., Денисенко Я.В., Ищенко Р.В. Опыт лечения при мастопатии у женщин в менопаузе. Онкология. 2008; 10(4): 429-31. [Sedakova I.E., Aleksandrov A.I., Denisenko Y.V., Ishchenko R.V. Treatment experience in mastopathy in menopausal women. Oncology. 2008; 10(4): 429-31 (in Russiasan)].
- Каприн А.Д., Рожкова Н.И., ред. Маммология. Национальное руководство. 2-е изд. М.; 2016: 311-29. [Kaprin A.D., Rozhkova N.I., eds. Mammology. National guide. 2nd ed. Moscow; 2016: 311-29 (in Russian)].
- Каприн А.Д., Рожкова Н.И., ред. Маммология. Национальное руководство. 3-е изд. М.: ГЭОТАР-Медиа; 2025: 374-403. [Kaprin A.D., Rozhkova N.I., eds. Mammology. National guide. 3rd ed. Moscow: GEOTAR-Media; 2025: 374-403 (in Russian)].
- Рожкова Н.И., Меских Е.В., Бурдина Л.М., Сметник В.П., Бурдина И.И. Лекарственная патогенетическая коррекция доброкачественных заболеваний молочной железы. Опухоли женской репродуктивной системы. 2008; 2: 48-54. [Rozhkova N.I., Meskikh E.V., Burdina L.M., Smetnik V.P., Burdina I.I. Drug pathogenetic correction of benign breast diseases. Tumors of the female reproductive system. 2008; (2): 48-54 (in Russian)].
- Рожкова Н.И., Бурдина И.И., Меских Е.В. и др.; под ред. Солодкого В.А., Рожковой Н.И. Диффузные доброкачественные заболевания молочной железы. Диагностика и лечение. М.: СИМК; 2012. 124 c. [Rozhkova N.I., Burdina I.I., Meskikh E.V. et al.; Solodky V.A., Rozhkova N.I., eds. Diffuse benign breast diseases. Diagnosis and treatment. Moscow: SIMK; 2012. 124 p. (in Russian)].
- Карева Е.Н. Индолкарбинол (Индинол Форто) и доброкачественные заболевания молочных желез в аспекте профилактики онкологических процессов. Акушерство и гинекология. 2025; 6: 164-70. [Kareva E.N. Indole carbinol (Indinol Forto) and benign breast diseases in the context of cancer prevention. Obstetrics and Gynecology. 2025; (6): 164-70 (in Russian)]. https://dx.doi.org/10.18565/aig.2025.162
- Родионов В.В., Сметник А.А., Сенча А.Н., Кометова В.В., Бикеев Ю.В., Ашрафян Л.А. Алгоритм диагностики и лечения доброкачественной дисплазии молочной железы. Акушерство и гинекология. 2022; 6 (Приложение): 23-34. [Rodionov V.V., Smetnik A.A., Sencha A.N., Kometova V.V., Bikeev Yu.V., Ashrafyan L.A. Algorithm for diagnosis and treatment of benign breast dysplasia. Obstetrics and Gynecology. 2022; 6 (Suppl.): 23-34 (in Russian)].
- Bradlow H.L., Telang N.T., Sepkovic D.W., Osborne M.P. 2-hydroxyestrone: the 'good' estrogen. J. Endocrinol. 1996; 150 Suppl.: S259-65.
- Im A., Vogel V.G., Ahrendt G., Lloyd S., Ragin C., Garte S. et al. Urinary estrogen metabolites in women at high risk for breast cancer. Carcinogenesis. 2009; 30(9): 1532-5. https://dx.doi.org/10.1093/carcin/bgp139
- Maruthanila V.L., Poornima J., Mirunalini S. Attenuation of carcinogenesis and the mechanism underlying by the influence of indole-3-carbinol and its metabolite 3,3'-diindolylmethane: a therapeutic marvel. Adv. Pharmacol. Sci. 2014; 2014: 832161. https://dx.doi.org/10.1155/2014/832161
- Muti P., Bradlow H.L., Micheli A., Krogh V., Freudenheim J.L., Schünemann H.J. et al. Estrogen metabolism and risk of breast cancer: a prospective study of the 2:16alpha-hydroxyestrone ratio in premenopausal and postmenopausal women. Epidemiology. 2000; 11(6): 635-40. https://dx.doi.org/10.1097/00001648-200011000-00004
- Samsioe G. Medical and surgical strategies for treating urogynecological disorders. Int. J. Fertil. Menopausal. Stud. 1996; 41(2): 136-41.
- Киселев В.И., Сметник В.П., Сутурина Л.В., Селиванов С.П., Рудакова Е.Б., Рахматуллина И.Р., Андреева Е.Н., Фадеева Н.И., Хасанов Р.Ш., Кулагина Н.В., Рожкова Н.И., Артымук Н.В., Гависова А.А., Муйжнек Е.Л., Кузнецов И.Н., Друх В.М. Индолкарбинол (Индинол Форто) - метод мультитаргентной терапии при циклической мастодинии. Акушерство и гинекология. 2013; 7: 56-62. [Kiselev V.I., Smetnik V.P., Suturina L.V., Selivanov S.P., Rudakova E.B., Rakhmatullina I.R., Andreyeva E.N., Fadeyeva N.I., Khasanov R.Sh., Kulagina N.V., Rozhkova N.I., Artymuk N.V., Gavisova A.A., Muizhnek E.L., Kuznetsov I.N., Drukh V.M. Indole carbinol (Indinol Forto) is a multitargeted therapy option for cyclic mastodynia. Obstetrics and Gynecology. 2013; (7): 56-62 (in Russian)].
- Киселев В.И., Сидорова И.С., Унанян А.Л., Муйжнек Е.Л. Гиперпластические процессы органов женской репродуктивной системы: теория и практика. М.; Медпрактика; 2011. 467 с. [Kiselev V.I., Sidorova I.S., Unanyan A.L., Muizhnek E.L. Hyperplastic processes of the organs of the female reproductive system: theory and practice. Moscow; Medical practice; 2011. 467 p. (in Russian)].
- Prior J.C. Progesterone for symptomatic perimenopause treatment - progesterone politics, physiology and potential for perimenopause. Facts Views Vis. Obgyn. 2011; 3(2): 109-20.
- Lord R.S., Bongiovanni B., Bralley J.A. Estrogen metabolism and the diet-cancer connection: rationale for assessing the ratio of urinary hydroxylated estrogen metabolites. Altern. Med. Rev. 2002; 7(2): 112-29.
- Киселев В.И., Ляшенко А.А. Индинол – регулятор пролиферативных процессов в органах репродуктивной системы. М.: Миракс-Фарма; 2008. 48 с. [Kiselev V.I., Lyashenko A.A. Indinol - regulator of proliferative processes in the organs of the reproductive system. Moscow: Mirax Pharma; 2008. 48 p. (in Russian)].
Received 11.12.2025
Accepted 15.01.2026
About the Authors
Irina I. Burdina, PhD, Senior Researcher at the National Center of Oncology of Reproductive Organs, P. Hertsen Moscow Oncology Research Institute – branch of the National Research Radiological Centre of the Ministry of Health of the Russian Federation; member of the Russian Association of Mammologists, member of the RSR, +7(903)171-56-05, irina196504@rambler.ru, https://orcid.org/0000-0002-5991-0186Samira B. Zapirova, PhD, Senior Researcher at the National Center of Oncology of Reproductive Organs, P. Hertsen Moscow Oncology Research Institute – branch of the National Research Radiological Centre of the Ministry of Health of the Russian Federation; member of the Russian Association of Mammologists, member of the RSR, member of the ESR, +7(903) 299-70-16, z.samira@list.ru, https://orcid.org/0000-0001-7154-3326
Nadezhda I. Rozhkova, Professor, Dr. Med. Sci., Honored Scientist of the Russian Federation, Laureate of the USSR Council of Ministers Prize, Head of the National Center of Oncology of Reproductive Organs, P. Hertsen Moscow Oncology Research Institute – branch of the National Research Radiological Centre of the Ministry of Health of the Russian Federation; Professor at the Department of clinical mammology, radiation diagnosis and radiation therapy FNMO MI, RUDN named after Patrice Lumumba; President of the Russian Association of Mammologists, member of the RSR, member of the ESR, +7(926) 255-71-11, nrozhkova2013@yandex.ru, https://orcid.org/0000-0003-0920-1549
Patimat G. Labazanova, Junior Researcher at the National Center of Oncology of Reproductive Organs, P. Hertsen Moscow Oncology Research Institute – branch of the National Research Radiological Centre of the Ministry of Health of the Russian Federation; member of the Russian Association of Mammologists, member of the RSR, member of the ESR, +7(926)190-98-99, patika92@mail.ru, https://orcid.org/0000-0003-1500-4381
Michael L. Mazo, PhD, Senior Researcher at the National Center of Oncology of Reproductive Organs, P. Hertsen Moscow Oncology Research Institute – branch of the National Research Radiological Centre of the Ministry of Health of the Russian Federation; Associate Professor at the Department of clinical mammology, radiation diagnosis and radiation therapy FNMO MI, RUDN named after Patrice Lumumba; General Secretary of the Russian Association of Mammologists, member of the RSR, member of the ESR, +7(916)835-79-97, m_mazo@rambler.ru, https://orcid.org/0000-0002-1313-6420
Sergey P. Prokopenko, PhD, Associate Professor, Head of the Department of Comprehensive Diagnostics and Interventional Radiology in Mammology of the National Center of Oncology of Reproductive Organs, P. Hertsen Moscow Oncology Research Institute – branch of the National Research Radiological Centre of the Ministry of Health of the Russian Federation; Head of the Department of clinical mammology, radiation diagnosis and radiation therapy FNMO MI, RUDN named after Patrice Lumumba; Vice-President of the Russian Association of Mammologists, member of the RSR, member of the ESR, +7(925)500-98-94, prokopenkosp@gmail.com,
https://orcid.org/0000-0002-0369-5755
Sergey Yu. Mikushin, PhD, Researcher at the National Center of Oncology of Reproductive Organs, P. Hertsen Moscow Oncology Research Institute – branch of the National Research Radiological Centre of the Ministry of Health of the Russian Federation; Associate Professor at the Department of clinical mammology, radiation diagnosis and radiation therapy FNMO MI, RUDN named after Patrice Lumumba; member of the Russian Association of Mammologists, member of the RSR, member of the ESR, +7(925)887-97-75, mikushinsergey@gmail.com, https://orcid.org/0000-0002-3495-4895
Corresponding author: Irina I. Burdina, irina196504@rambler.ru



