Norethisterone acetate in the treatment of colorectal endometriosis: a pilot study
Open accessAbstract
BACKGROUND: This pilot study evaluates the efficacy of norethisterone acetate in treating pain and gastrointestinal symptoms of women with colorectal endometriosis. METHODS: This prospective study included 40 women with colorectal endometriosis, who had pain and gastrointestinal symptoms. Patients received norethisterone acetate (2.5 mg/day) for 12 months; in case of breakthrough bleeding, the dose of norethisterone acetate was increased by 2.5 mg/day. The degree of patient satisfaction with treatment (primary end-point) and the changes in symptoms (secondary end-point) were evaluated. Side effects of treatment were recorded. RESULTS: Norethisterone acetate determined a significant improvement in the intensity of chronic pelvic pain, deep dyspareunia, dyschezia. Treatment determined the disappearance of symptoms related to the menstrual cycle (dysmenorrhea, constipation during the menstrual cycle, diarrhoea during the menstrual cycle and cyclical rectal bleeding). The severity of diarrhoea, intestinal cramping and passage of mucus significantly improved during treatment. On the contrary, the administration of norethisterone acetate did not determine a significant effect on constipation, abdominal bloating and feeling of incomplete evacuation after bowel movements. At the completion of treatment, 57% of the patients with diarrhoea or diarrhoea during the menstrual cycle continued the treatment with norethisterone acetate compared with 17% of the patients with constipation or constipation during the menstrual cycle. CONCLUSIONS: In some patients with bowel endometriosis, the administration of norethisterone acetate may determine a relief of pain and gastrointestinal symptoms. This therapy has greater benefits in patients with gastrointestinal symptoms related to the menstrual cycle, diarrhoea and intestinal cramping.
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In a pilot study of women with bowel endometriosis, low-dose oral NETA significantly improved chronic pelvic pain, deep dyspareunia, dyschezia, and eliminated menstrual cycle-related symptoms.
“A pilot study on women with bowel endometriosis showed that low dose oral NETA determined a significant improvement in the intensity of chronic pelvic pain, deep dyspareunia, dyschezia and the disappearance of symptoms related to the menstrual cycle (dysmenorrhea, constipation during the menstrual cycle, diarrhea during the menstrual cycle and cyclical rectal bleeding) [210].”
From Hormonal treatments for endometriosis: The endocrine background (2022) · cites this paper as [210]
In a prospective case series of 40 women with bowel endometriosis, norethisterone acetate 2.5 mg/day for 12 months significantly improved dysmenorrhea, dyspareunia, chronic pelvic pain, dyschezia, and diarrhea.
“Significant improvement of dysm, dysp, CPP, dyschezia and diarrhea.”
From Medical treatment in the management of deep endometriosis infiltrating the proximal rectum and sigmoid colon: a comprehensive literature review (2018) · cites this paper as [11]
Numerous studies demonstrated efficacy of a reduced daily NETA dose of 2.5 mg.
“numerous studies by independent groups demonstrated the efficacy of a reduced daily dose of 2.5 mg [13-16].”
From Oral and depot progestin therapy for endometriosis: towards a personalized medicine (2017) · cites this paper as [14]
In a pilot study of colorectal endometriosis, NETA 2.5 mg/d for 12 months achieved good satisfaction (60%) and more than half reported improvement in GI symptoms and amelioration of chronic pelvic pain and deep dyspareunia.
“The satisfaction rate was good (60%), more than half of the patients reported an improvement in gastrointestinal symptoms and an amelioration of chronic pelvic pain and deep dyspareunia.”
From Oral and depot progestin therapy for endometriosis: towards a personalized medicine (2017) · cites this paper as [14]
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- Authors
- Ferrero, S., Camerini, G., Ragni, N., Venturini, P. L., Biscaldi, E., & Remorgida, V.
- Affiliations
- Ospedale Policlinico San Martino (IT)
- Istituto Giannina Gaslini (IT)
- Ente Ospedaliero Ospedali Galliera (IT)
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-10-10
- Volume
- 25
- Issue
- 1
- Pages
- 94-100
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- OpenAlex
- W2152713755
- Cited by
- 107
- References
- 38
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 5 · 2020: 13 · 2019: 3 · 2018: 11 · 2017: 8 · 2016: 10 · 2015: 9 · 2014: 5 · 2013: 4 · 2012: 4
- FWCI
- 7.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Human Reproduction (publishedVersion)
- PubMed (publishedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
- INFM-OAR (INFN Catania) (submittedVersion, other-oa)
- Zenodo (CERN European Organization for Nuclear Research) (other-oa)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- norethisterone acetate, colorectal endometriosis, bowel endometriosis, chronic pelvic pain, dyschezia, dysmenorrhea, deep dyspareunia, treatment efficacy, patient satisfaction, adverse effects
- MeSH terms
- Norethindrone Acetate, Adult, Colonic Diseases, Endometriosis, Female, Humans, Norethindrone, Pain, Pilot Projects, Prospective Studies, Rectal Diseases
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