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Clinical Efficacy of Two Administrations of Bromocriptine in the Treatment of Female Hyperprolactinemia Infertility |
XU Xiao-hong, ZHANG Lei, LI Ning, et al |
People's Hospital of Ganzi Garze Tibetan Prefecture,Sichuan province, Ganzi 626000 |
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Abstract 【Objective】To investigate the clinical efficacy of two administrations of bromocriptine in the treatment of female hyperprolactinemia (HPRL) infertility.【Methods】A total of 87 cases of HPRL patients admitted from May 2014 to May 2016 in our hospital were retrospectively divided into control group and observation group according to the way of administration of bromocriptine. The control group was treated with oral bromocriptine treatment while the observation group were treated by vaginal administration of bromocriptine . Clinical symptoms, serum follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), prolactin (PRL) levels, ovulation rate, pregnancy rate, abortion rate and adverse reaction rate after treatment in the two groups were compared. 【Results】The number of patients with rare menstruation, amenorrhea, galactorrhea, hirsutism and headache in two groups after treatment was lower than that before treatment ( P < 0.05). After treatment, the levels of FSH and E2 in two groups were higher than those before treatment, while the levels of LH and PRL were lower than those before treatment ( P < 0.05).However, no significant differences were shown between the two groups ( P > 0.05). There were no significant differences in ovulation rate, pregnancy rate and abortion rate between the two groups ( P > 0.05). The adverse reaction rate in the observation group was lower than that in the control group ( P < 0.05). 【Conclusion】Oral and vaginal administration of bromocriptine are effective in treating female hyperprolactinemia infertility. It can improve the serum sex hormone levels and control the level of serum PRL. However, the incidence of adverse reactions to vaginal administration is low, which is worthy of clinical application.
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Received: 29 November 2017
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