Effects of hormone therapy containing 2 mg drospirenone and 1 mg 17β-estradiol on postmenopausal exacerbation of Meniere's disease: Preliminary study.

17β-estradiol Meniere's disease drospirenone hormone therapy menopause stabilometry

Journal

Experimental and therapeutic medicine
ISSN: 1792-1015
Titre abrégé: Exp Ther Med
Pays: Greece
ID NLM: 101531947

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 27 02 2021
accepted: 06 07 2021
entrez: 10 9 2021
pubmed: 11 9 2021
medline: 11 9 2021
Statut: ppublish

Résumé

The present study aimed to evaluate the effects of 2 mg drospirenone (DRSP) and 1 mg 17β-estradiol (E2) hormone therapy (HT) in combination with rehabilitation therapy for postmenopausal women with Meniere's disease (MD). The combined drug hormone treatment was denoted as DRSP/E2. A total of 65 postmenopausal female patients with MD and severe distress were enrolled in the present prospective study. A total of 31 women comprised the study group (group A), undergoing HT and rehabilitation therapy, whereas 34 women who opted for rehabilitation therapy alone comprised the control group (group B). Vestibular function and distress associated with MD were assessed by stabilometry and the Dizziness Handicap Inventory (DHI) questionnaire, respectively. The data were collected at baseline and during the 3- and 6-month follow-up visits. The areas of the stabilometric ellipses exhibited a higher reduction in group A compared with group B with regard to the baseline values at both follow-up assessments (P<0.001). At baseline, both groups exhibited severe self-perceived discomfort, with similar DHI scores of 72.3±3.7 (group A) and 70.6±3.9 (group B; P=0.07). At the 3-month follow-up, both groups underwent a gradual improvement, which was significantly higher in group A (47.5±3.7) compared with in group B (64.2±3.3; P<0.001). At the 6-month follow-up, the DHI scores were improved in group A (43.4±3.4) compared with in group B (58.5±3.1; P<0.001). Therefore, DRSP/E2 HT was effective in reducing the fluid overload, which is characteristic of MD. The findings of the present study demonstrated that integrated therapy based on the administration of DRSP/E2 HT and rehabilitation may be more effective compared with rehabilitation alone for the management of postmenopausal exacerbation of MD.

Identifiants

pubmed: 34504557
doi: 10.3892/etm.2021.10537
pii: ETM-0-0-10537
pmc: PMC8383771
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1103

Informations de copyright

Copyright: © Grillo et al.

Déclaration de conflit d'intérêts

The authors declare that they have no competing interests.

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Auteurs

Caterina Maria Grillo (CM)

Department of Medical and Surgical Sciences and Advanced Technologies 'G. Ingrassia', ENT Section, University of Catania, I-95124 Catania, Italy.

Luigi Maiolino (L)

Department of Medical and Surgical Sciences and Advanced Technologies 'G. Ingrassia', ENT Section, University of Catania, I-95124 Catania, Italy.

Agnese Maria Chiara Rapisarda (AMC)

Department of General Surgery and Medical Surgical Specialties, Gynecological Clinic, Research Group for Sexology, University of Catania, I-95124 Catania, Italy.

Giuseppe Caruso (G)

Department BIOMETEC, University of Catania, I-95124 Catania, Italy.

Gaia Palermo (G)

Department of General Surgery and Medical Surgical Specialties, Gynecological Clinic, Research Group for Sexology, University of Catania, I-95124 Catania, Italy.

Salvatore Caruso (S)

Department of General Surgery and Medical Surgical Specialties, Gynecological Clinic, Research Group for Sexology, University of Catania, I-95124 Catania, Italy.

Classifications MeSH