Improvement in insulin sensitivity followed by ovulation and pregnancy in a woman with polycystic ovary syndrome who was treated with rosiglitazone

被引:57
作者
Cataldo, NA
Abbasi, F
McLaughlin, TL
Lamendola, C
Reaven, GM
机构
[1] Stanford Univ, Med Ctr, Dept Gynecol & Obstet, Div Reprod Endocrinol & Infertil, Stanford, CA 94305 USA
[2] Stanford Univ, Med Ctr, Dept Gynecol & Obstet, Div Reprod Endocrinol & Infertil, Stanford, CA 94305 USA
[3] Stanford Univ, Med Ctr, Dept Med, Div Endocrinol Gerontol & Metab, Stanford, CA 94305 USA
[4] Shaman Pharmaceut, S San Francisco, CA USA
关键词
polycystic ovary syndrome; insulin resistance; rosiglitazone; ovulation; pregnancy;
D O I
10.1016/S0015-0282(01)02843-6
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To determine the metabolic and reproductive effectiveness of rosiglitazone in polycystic ovary syndrome (PCOS). Design: Case report. Setting: Academic clinical practice and General Clinical Research Center. Patient(s): A 25-year-old woman with PCOS. Intervention(s): Rosiglitazone maleate, 4 mg daily for 5 months until conception. Main Outcome Measure(s): Insulin sensitivity by steady-state plasma glucose technique; serum androgens, progesterone, and hCG; and pelvic ultrasound images. Result(s): Rosiglitazone. treatment for 5 months improved insulin sensitivity, lowered serum free testosterone, and resulted in spontaneous ovulation and conception. Conclusion(s): Rosiglitazone is a promising insulin sensitizer for treatment of PCOS. Clinical trials are warranted. (C) 2001 by American Society for Reproductive Medicine.
引用
收藏
页码:1057 / 1059
页数:3
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