Metformin, the Rise of a New Medical Therapy for Endometriosis? A Systematic Review of the Literature
- PMID: 34046415
- PMCID: PMC8144644
- DOI: 10.3389/fmed.2021.581311
Metformin, the Rise of a New Medical Therapy for Endometriosis? A Systematic Review of the Literature
Abstract
Medical treatments for endometriosis aim to control pain symptoms and stop progression of endometriotic lesions. However, their adverse effects and their contraceptive effect in women who desire pregnancy, limit their long terms use. Although there is only one study investigating the effects of metformin on women with endometriosis, metformin seems to have a unique therapeutic potential. It may be a helpful anti-inflammatory and antiproliferative agent in the treatment of endometriosis. As such metformin may be more beneficial thanks to the lack of serious side effects.
Keywords: contraceptives; endometriosis; fertility; medical therapy; metformin.
Copyright © 2021 Stochino-Loi, Major, Gillon, Ayoubi, Feki and Bouquet de Joliniere.
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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References
-
- Abdallah AA. Gastric wall endometriosis in a postmenopausal woman. Egypt J Radiol Nucl Med. (2016) 47:1783–6. 10.1016/j.ejrnm.2016.08.005 - DOI
-
- Asencio F, Ribeiro HA, Ribeiro PA, Malzoni M, Adamyan L, Ussia A, et al. . Symptomatic endometriosis developing several years after menopause in the absence of increased circulating estrogen concentrations: a systematic review and seven case reports. Gynecol. Surg. (2019) 3:16. 10.1186/s10397-019-1056-x - DOI
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