Use of progestin-only drospirenone-based pills in hyperandrogenic women with polycystic ovary syndrome

This study showed that a 6-month drospirenone (DRSP)-only therapy significantly reduced hyperandrogenism symptoms, such as acne and hirsutism, in PCOS patients. It also lowered 17-OH-progesterone levels and showed a trend of reduced CRP values. Bleeding patterns were consistent with those in existing literature. We recommend DRSP-only therapy as a suitable option for PCOS patients with hyperandrogenism who cannot use combined oral contraceptives (COCs), as well as to minimize the metabolic risks of estrogen.

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Publication Details

Journal
Archives of Gynecology and Obstetrics
Published
2025-09-10
DOI
https://doi.org/10.1007/s00404-025-08083-7
Primary Topic
Ovarian function and disorders
Type
article
Field-Weighted Citation Impact
0.00
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article

Use of progestin-only drospirenone-based pills in hyperandrogenic women with polycystic ovary syndrome

Cristina Guerriero, Anna Tropea, Antonio Lanzone, Rosanna Apa et al.
Archives of Gynecology and Obstetrics
Ovarian function and disorders
article

Use of progestin-only drospirenone-based pills in hyperandrogenic women with polycystic ovary syndrome

Cristina Guerriero, Anna Tropea, Antonio Lanzone, Rosanna Apa, Monia Ranalli, Giovanna Notaristefano, T. Ghi, Annamaria Merola, Alice Diterlizzi, Martina Policriti, Eleonora De Luca, Anastasyia Samasiuk, Ambra Moricone
article en

Abstract

This study showed that a 6-month drospirenone (DRSP)-only therapy significantly reduced hyperandrogenism symptoms, such as acne and hirsutism, in PCOS patients. It also lowered 17-OH-progesterone levels and showed a trend of reduced CRP values. Bleeding patterns were consistent with those in existing literature. We recommend DRSP-only therapy as a suitable option for PCOS patients with hyperandrogenism who cannot use combined oral contraceptives (COCs), as well as to minimize the metabolic risks of estrogen.

Archives of Gynecology and ObstetricsVol. 312(5)
Università Cattolica del Sacro Cuore (IT), Agostino Gemelli University Polyclinic (IT), Istituti di Ricovero e Cura a Carattere Scientifico (IT), Sapienza University of Rome (IT)
Openalex Percentile: Top 68%
Ovarian function and disorders
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Use of progestin-only drospirenone-based pills in hyperandrogenic women with polycystic ovary syndrome — Cristina Guerriero, Anna Tropea, et al. · Archives of Gynecology and Obstetrics (2025) | TGRS Research Map | TGRS