An analogy in the use of metformin, clomiphene citrate and letrozole: in the treatment of polycystic ovary syndrome

Authors

DOI:

https://doi.org/10.33448/rsd-v11i13.35520

Keywords:

Metformin; Clomiphene Citrate; Letrozole; Obesity; Polycystic ovary syndrome.

Abstract

Polycystic ovary syndrome (PCOS) is one of the most common clinical conditions among endocrine disorders that affect women of reproductive age, accounting for about 80% of cases of anovulatory infertility. Objective to carry out a literature review on the use of metformin in the treatment of women with PCOS, making an analogy in the use of metformin, clomiphene citrate and letrozole. Methodology: The study is an integrated review of the literature as a reference for articles from the years 2013 to 2020 carried out in the databases: Medline, Lilacs, Scielo. Identified on 80 articles, used from 20 in the elaboration of the work. Results: Metformin was shown to be effective as a combination therapy with letrozole in the treatment of PCOS, but there was no consensus on its use as monotherapy.

References

Arie, W.M. Y, et al. (2019). Síndrome do ovário policístico e metformina: revisão baseada em evidências. femina. 37(11), 586-602.

Azevedo, M. M. P., Marqui, A. B. T. de, Bacalá, B. T., Balarin, M. A. S., Lima, E. A. M. R. de R. M. F. P., & Cintra, M. K. de O. G. M. T. R. (2020). Polymorphisms of the GSTT1 and GSTM1 genes in polycystic ovary syndrome. Original Article, 66(11), 1560–1565.

Bascope, E. L., Ortiz, Y. M., Llanos, G. R. L., Apaza, M. H., & Lazo, L. (2017). metformina en el tratamiento del síndrome de ovários poliquísticos. un ensayo clínico aleatorizado. Articulo Original.20(2), 45–52.

Cavalcante, I. S. et al. (2021). Síndrome dos ovários policísticos: aspectos clínicos e impactos na saúde da mulher. Research, Society and Development. 10(2),45-63..

Fernandes, S. S., Marqui, A. B. T. de, Teles, D. R. F., Resende, E. A. M. R., Lima, M. F. P., Gomes, M. K. O., & Cintra, M. T. R. (2020). VEGF gene rs35569394 polymorphism in patients with Polycystic Ovary Syndrome. Original Article,66(34), 1396–1401.

Flory J, Lipska K. (2019). Metformin in. JAMA. 2019 May 21;321(19):1926-1927. doi: 10.1001/jama.2019.3805. PMID: 31009043; PMCID: PMC7552083.

Gadalla, M. A. et al. (2018). Medical and surgical treatment of reproductive outcomes in polycystic ovary syndrome: an overview of systematic reviews. International Journal of Fertility and Sterility. 13 (4), 257-270.

Gonçalves, M.M.., Fonseca, H.P.., Fukunaga, E.T., Aldrighi, J.M. (2018). Interferência dos Hábitos Alimentares Nutricionais no Perfil Metabólico de Mulheres com Síndrome dos Ovários Policísticos. Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo. 63(1),6-11.

Hyer, S., Balani, J., & Shehata, H. (2018). Metformin in Pregnancy : Mechanisms and Clinical Applications. Review Article, 2–13. https://doi.org/10.3390/ijms19071954

Kim, C. H., Chon, S. J., Lee, S. H. (2020). Efects of lifestyle modifcation in polycystic ovary syndrome compared to metformin only ormetformin addition: A systematic review and metaanalysi . Scientific Reports. 10(7802), 1-13.

Liu,Y., Hou, L., Li, Y., Liu, M., Xu, F & Wang Y.(2015) Metformin for adolescents with polycystic ovary syndrome. J Reprod

Contracept. 26(2),103-11.

Lopez, B, et al. (2017). Metformina en el tratamiento del síndrome de ovarios poliquísticos. Um ensayo clínico aleatorizado. Revista Científica Ciência Médica.20(2), 45-52.

Lana, M. P., Demayo, S., Giannone, L., Nolting, M., D’isa, E., Servetti1, V., Rolo, G.,Gutierrez, G., & Jarlip, M. (2020). Metabolic compromise in women with PCOS :earlier than expected. Original Article, 66(9), 1225–1228

Marcondes, J.A. M., Barcellos, C.R.G.,Rocha, M.P. (2013).Síndrome dos Ovários Policísticos: Uma Visão Geral. In: Vilar, L. Endocrinologia Clinica. São Paulo: Guanabara Koogan.5ed,156-456p.

Morley, L.C, et al. (2017). Insulin‐sensitising drugs (metformin, rosiglitazone, pioglitazone, D‐chiro‐inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility. Cochrane Database Syst Rev.5(3),87-102.

Neto, E. M. R., et al. (2015). Metformina: Uma Revisão Da Literatura. Saúde e Pesquisa, Maringá, 8(2), 355-362.

Practice Committee of the American Society for Reproductive Medicine. (2017). Practice Committee of the American Society for Reproductive Medicine. Role of metformin for ovulation induction in infertile patients with polycystic ovary syndrome (PCOS): aguideline. Fertil Steril.108(2), 426-441.

Roque M, Tostes AC, Valle M, Sampaio M, Geber S. Letrozole versus clomiphene citrate in polycystic ovary syndrome: systematic reviewand meta-analysis. Gynecol Endocrinol. 2015;31(12):917-21.

Rezk, M., Shaheen, A., El-Nasr, I.S. (2018). Clomiphene citrate combined with metformin versus letrozole for induction of ovulation in clomiphene-resistant polycystic ovary syndrome: a randomized clinical trial. Gynecological Endocrinology. 34(4), 298-300.

Franik, S, Eltrop, S.M, Kremer, J.A, Kiesel, L, & Farquhar C.(2018). Aromatase inhibitors (letrozole) for subfertile women with polycystic ovary syndrome. Cochrane Database Syst Rev;5:CD010287

Rena G, et al. (2017). The mechanisms of action of metformin. Diabetologia. 60(9), 1577-1585.

Tanbo., Tom., Mellembakken., Jan., Bjercke., Sverre.,Ring., Eva.,Åbyholm.,Thomas., Fedorcsak., Peter. (2018). Ovulation induction in polycystic ovary syndrome. Arch Gynecol Obstet Scand. 97(10), 1162-1167.

Vale, V. A. L. D., et al. (2021). O Uso de Metformina no Tratamento da Síndrome dos OváriosPolicísticos. Brazilian Journal of Health Review, Curitiba, 4(2), 4426-4436.

Xu, Y, et al. (2017).Comparison of the effect between pioglitazone and metformin in treating patients with PCOS: a meta-analysis.ArchGynecolObstet.296(4),661-677.

Yu, Y., et al. (2017). Comparative effectiveness of 9 ovulation-induction therapies in patients withclomiphene citrate-resistant polycystic ovary syndrome: a network meta-analysis. Scientific reports, 7(1), 1-12.

Published

04/10/2022

How to Cite

RODRIGUES, A. E. da S. .; RODRIGUES JUNIOR, O. M. .; OLIVEIRA, R. da S. .; ANDRADE, M. de S. .; ALHO, R. da C. .; GAMA, R. A. da .; ROMÃO, M. R. de S. .; CARMO, O. R. F. do . An analogy in the use of metformin, clomiphene citrate and letrozole: in the treatment of polycystic ovary syndrome. Research, Society and Development, [S. l.], v. 11, n. 13, p. e275111335520, 2022. DOI: 10.33448/rsd-v11i13.35520. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35520. Acesso em: 13 nov. 2024.

Issue

Section

Health Sciences