AI Article Synopsis

  • The study aimed to evaluate the effectiveness of modified Longdan Xiegan Decoction (LXD) for treating hyperandrogenism in women with polycystic ovary syndrome (POS) categorized as stagnant fire in the Gan channel type.
  • Patients were divided into two groups, with one receiving LXD and the other Diane-35, and both treatments were assessed for improvements in menstrual disorders, acne, and hormonal levels over three months.
  • Results showed that while both treatments led to significant improvements, the LXD group had a notably lower level of prolactin and reported no adverse reactions, suggesting it could be a safer alternative for these patients.

Article Abstract

Objective: To observe the therapeutic effect of modified Longdan Xiegan Decoction (LXD) on hyperandrogenism in patients with polycystic ovary syndrome (POS) of stagnant fire in Gan channel type.

Methods: Forty-eight patients were divided into two groups: the LXD group (25 cases) treated with LXI) for 3 months, and the Diane-35 group (23 cases) with Diane-35. Condition of menstruation, acne, hairiness were observed, basal body temperature (BBT) was measured, and the serum levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH), prolactin (PRL), free testosterone (FT), and androstenedione (A) were detected before and after 3 months' treatment. Meanwhile, adverse reaction was observed.

Results: After treatment, the condition of menstrual disorder, acne and single-phase BBT were improved significantly, and serum levels of LH, LH/FSH, FT and A decreased in both groups (P < 0.05), showed insignificant difference between them (P > 0.05). The PRL level dropped in the LXD group (P < 0.05), which significantly lower than that in the Diane-35 group (P < 0.05). There were 3 cases with adverse reaction of irregular colporrhagia and 5 cases with nausea and vomiting in the Diane-35 group, while no adverse reaction in the LXD group occurred.

Conclusion: Modified LXD could significantly improve the condition in hyperandrogenism patients with POS of stagnant fire in Gan channel type.

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