Use of leuprolide acetate plus tibolone in the treatment of severe premenstrual syndrome

Abstract

Objective: To evaluate the effectiveness of GnRH agonist (GnRH-a) plus tibolone in the treatment of severe premenstrual syndrome (PMS). Design: Prospective, double-blind, placebo-controlled clinical trial. Setting: Department of Obstetrics and Gynecology, University of Naples “Federico II,” Naples, Italy. Patient(s): Thirty patients affected by severe PMS, aged 23–29 years (mean age ± SD, 25.3 ± 2.9 years). Intervention(s): Treatment for two cycles with leuprolide acetate depot (3.75 mg IM for 28 days) in association with tibolone (2.5 mg/d orally) or placebo (1 tablet per day orally). Main Outcome Measure(s): The mean severity of each symptom and sign of PMS was evaluated using a visual analog scale during the last 7 days of each treatment cycle in comparison with the last 7 days of the cycle before treatment. Result(s): Mean scores for each of the adverse psychological/physical and positive psychological symptoms were significantly improved during treatment. No statistically significant difference was detected between patients treated with tibolone and placebo. A significantly lower number of hot flushes per day was observed in groups treated with GnRH-a and tibolone in comparison with GnRH-a and placebo. Conclusion(s): Tibolone administered in association with GnRH-a does not reduce the therapeutic effect of GnRH-a in women affected by PMS. Tibolone used in association with GnRH-a may provide long-term medical treatment for women with PMS.