Abstract
The third-generation aromatase inhibitor group includes letrozole, and anastrozole and exemestane have both been approved for suppression of estrogen in postmenopausal women with breast cancer. It seems scientifically plausible that various gynecological disorders that are estrogen dependent would benefit from estrogen suppression by aromatase inhibitors. When an aromatase inhibitor is used in premenopausal women, blocking an endogenous rise of gonadotropins by gonadotropin-releasing hormone analogs or sex steroids is mandatory to achieve adequate estrogen suppression. The two most frequently investigated gynecological conditions for the use of aromatase inhibitors include infertility and endometriosis. Available evidence strongly supports the success of aromatase inhibitors for the induction of ovulation, and reducing the pain associated with endometriosis. Preliminary evidence of success in managing other gynecological disorders, such as uterine leiomyomas, exists. Bone loss and dyslipidemia are potenti...
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