Comparison of lipid and androgen levels after conjugated estrogen or depo- medroxyprogesterone acetate treatment in postmenopausal women

Randall B. Barnes, Subir Roy, Rogerio A. Lobo*

*Corresponding author for this work

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

Thirty-five women who had undergone a natural or surgical menopause were randomized to receive either 0.625 mg of conjugated estrogen to be ingested for 25 days each month or 150 mg of depo-medroxyprogesterone acetate intramuscularly every three months. Plasma lipids were determined before and after one year of therapy. Serum androgens were measured before and after six months of therapy. Conjugated estrogens and depo-medroxyprogesterone acetate had similar effects on plasma lipids. Cholesterol was decreased (P<.02 for conjugated estrogen therapy and P<.01 for depo-medroxyprogesterone acetate therapy), as was lowdensity lipoprotein cholesterol (P<.02 for conjugated estrogen and P<.05 for depo-medroxyprogesterone acetate). Conjugated estrogens also significantly increased high-density lipoprotein cholesterol (P<.02). High-density lipoprotein cholesterol levels were unchanged after depomedroxyprogesterone acetate therapy. Serum androgens were generally unchanged after depo-medroxyprogesterone acetate or conjugated estrogen therapy. The data from this study suggest that long-term conjugated estrogen and depomedroxyprogesterone acetate treatment have similar effects on lipid and androgen levels except that high-density lipoprotein cholesterol was not significantly increased by depomedroxyprogesterone acetate.

Original languageEnglish (US)
Pages (from-to)216-219
Number of pages4
JournalObstetrics and gynecology
Volume66
Issue number2
StatePublished - Aug 1985

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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