Mastalgia in infertility: search for additional possibilities of therapy
- Authors: Krasnopolskaya K.V.1, Balan V.E.1, Ershova I.Y.1, Skorik E.O.1,2, Malygin S.E.2, Orazov M.R.3, Toktar L.R.3, Lagutina E.V.4
-
Affiliations:
- Moscow Regional Research Institute of Obstetrics and Gynecology
- Clinic of reproductive health Prior Clinic
- People’s Friendship University of Russia (RUDN University)
- People’s Friendship University of Russia (RUDN University
- Issue: Vol 23, No 4 (2021)
- Pages: 354-363
- Section: ORIGINAL ARTICLE
- URL: https://bakhtiniada.ru/2079-5831/article/view/80424
- DOI: https://doi.org/10.26442/20795696.2021.4.201084
- ID: 80424
Cite item
Full Text
Abstract
Aim. To assess the efficacy and safety of using the homeopathic drug Mastopol for the relief of mastalgia in women with infertility, including those associated with endometriosis, as well as to study the drug tolerability and adherence to the treatment, as well as to determine its antiproliferative and analgesic effects in patients of the study cohort. Study design: open-label, randomized, non-comparative, observational study.
Material and methods. 79 infertile women with mastalgia (67 with cyclic mastalgia and 12 with acyclic mastalgia) were examined and treated with Mastopol. Mastopol was prescribed 1 tablet 3 times a day sublingually. The course of treatment was 8 weeks. The efficacy of mastalgia relief was assessed using a Visual Analogue Scale (VAS). Treatment outcomes were considered good if pain severity by the VAS decreased by 4 or more points from the baseline levels at the end of Mastopol treatment course.
Results. One Mastopol treatment course provided good treatment outcomes in 76,2% of patients with cyclic mastalgia and in 33,3% of patients with acyclic mastalgia. There were no adverse reactions or complications in patients treated with Mastopol.
Conclusions. Mastopol has established itself as a quite effective and safe drug in patients of the study cohort; if there is an insufficient effect, Mastopol can supplement traditional pharmacological agents recorded in the current clinical guidelines.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
Ksenia V. Krasnopolskaya
Moscow Regional Research Institute of Obstetrics and Gynecology
Email: guzmoniiag@gmail.com
ORCID iD: 0000-0002-1275-9220
D. Sci. (Med.), Prof.
Russian Federation, MoscowVera E. Balan
Moscow Regional Research Institute of Obstetrics and Gynecology
Email: balanmed@gmail.com
ORCID iD: 0000-0002-2364-6838
D. Sci. (Med.), Prof.
Russian Federation, MoscowIrina Y. Ershova
Moscow Regional Research Institute of Obstetrics and Gynecology
Email: i3236987@gmail.com
ORCID iD: 0000-0001-9327-0656
Cand. Sci. (Med)
Russian Federation, MoscowElena O. Skorik
Moscow Regional Research Institute of Obstetrics and Gynecology; Clinic of reproductive health Prior Clinic
Email: skorikelena14@gmail.com
ORCID iD: 0000-0002-1976-2959
obstetrician-gynecologist, reproductive specialist
Russian Federation, Moscow; MoscowSergey E. Malygin
Clinic of reproductive health Prior Clinic
Email: omekan@mail.ru
oncologist, mammologist
Russian Federation, MoscowMekan R. Orazov
People’s Friendship University of Russia (RUDN University)
Author for correspondence.
Email: omekan@mail.ru
ORCID iD: 0000-0002-5342-8129
D. Sci. (Med.), Prof.
Russian Federation, MoscowLilia R. Toktar
People’s Friendship University of Russia (RUDN University)
Email: toktarli@mail.ru
ORCID iD: 0000-0003-4369-3620
Cand. Sci. (Med.)
Russian Federation, MoscowElena V. Lagutina
People’s Friendship University of Russia (RUDN University
Email: lagutina_e.v@mail.ru
ORCID iD: 0000-0002-3895-8359
Graduate Student
Russian Federation, MoscowReferences
- Rooney KL, Domar AD. The relationship between stress and infertility. Dialogues Clin Neurosci. 2018;20(1):41-7. doi: 10.31887/DCNS.2018.20.1/klrooney
- Boulet SL, Smith RA, Crawford S, et al. Health-Related Quality of Life for Women Ever Experiencing Infertility or Difficulty Staying Pregnant. Matern Child Health J. 2017;21(10):1918-26. doi: 10.1007/s10995-017-2307-y
- Bakhtiyar K, Beiranvand R, Ardalan A, et al. An investigation of the effects of infertility on Women’s quality of life: a case-control study. BMC Womens Health. 2019;19(1):114. doi: 10.1186/s12905-019-0805-3
- Женское бесплодие (современные подходы к диагностике и лечению). Клинические рекомендации. Режим доступа: https://www.minzdrav29.ru/health/normativnye-pravovyedokumenty/klinical_protokols/Клинический%20протокол%20Бесплодие.pdf. Ссылка активна на 01.08.2021 [Zhenskoe besplodie (sovremennye podkhody k diagnostike i lecheniiu). Klinicheskie rekomendatsii. Available at: https://www.minzdrav29.ru/health/normativnye-pravovyedokumenty/klinical_protokols/Klinicheskii protokol Besplodie.pdf. Accessed: 01.08.2021 (in Russian)].
- Краснопольская К.В., Назаренко Т.А. Клинические аспекты лечения бесплодия в браке. Диагностические и терапевтические программы с использованием методов восстановления естественной фертильности и вспомогательных репродуктивных технологий: руководство. М.: ГЭОТАР-Медиа, 2013 [Krasnopol'skaia KV, Nazarenko TA. Clinical aspects of infertility treatment in marriage. Diagnostic and therapeutic programs using methods of restoring natural fertility and assisted reproductive technologies: guide. Moscow: GEOTAR-Media, 2013 (in Russian)].
- Farquhar C, Marjoribanks J. Assisted reproductive technology: an overview of Cochrane Reviews. Cochrane Database Sys Rev. 2018;8:artCD010537. doi: 10.1002/14651858.CD010537.pub5
- Karaca N, Karabulut A, Ozkan S, et al. Effect of IVF failure on quality of life and emotional status in infertile couples. Eur J Obstet Gynecol Reprod Biol. 2016;206:158-63. doi: 10.1016/j.ejogrb.2016.09.017
- Maroufizadeh S, Ghaheri A, Omani Samani R. Factors associated with poor quality of life among Iranian infertile women undergoing IVF. Psychol Health Med. 2017;22(2):145-51. doi: 10.1080/13548506.2016.1153681
- Massarotti C, Gentile G, Ferreccio C, et al. Impact of infertility and infertility treatments on quality of life and levels of anxiety and depression in women undergoing in vitro fertilization. Gynecol Endocrinol. 2019;35(6):485-9. doi: 10.1080/09513590.2018.1540575
- Fakhravar S, Bahrami N, Qurbani M, Olfati F. The Effect of Healthy Lifestyle Promotion Intervention on Quality of Life in Cyclic Mastalgia via Individual Counseling: A Randomized Controlled Clinical Trial. Int J Community Based Nurs Midwifery. 2021;9(1):55-63. doi: 10.30476/ijcbnm.2020.85560.1274
- Grullon S, Bechmann S. Mastodynia. 2020. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2020.
- Cornell LF, Sandhu NP, Pruthi S, Mussallem DM. Current Management and Treatment Options for Breast Pain. Mayo Clin Proc. 2020;95(3):574-80. doi: 10.1016/j.mayocp.2019.12.014
- Гинекология: национальное руководство. Под ред. В.И. Кулакова, И.Б. Манухина, Г.М. Савельевой. М.: ГЭОТАР-Медиа, 2011 [Gynecology: a national guide. Ed. by VI Kulakov, IB Manukhin, GM Savel'eva. Moscow: GEOTAR-Media, 2011 (in Russian)].
- Опухоли женской репродуктивной системы: учебное пособие. Под ред. С.С. Чистякова. М.: Медицинское информационное агентство, 2011 [Tumors of the female reproductive system: a textbook. Ed. by SS Chistiakov. Moscow: Meditsinskoe informatsionnoe agentstvo, 2011 (in Russian)].
- Alimoğulları M, Buluş H. Existence of Cervical Discopathy in Non-Cyclic Mastodynia. Breast Care (Basel). 2020;15(2):178-81. doi: 10.1159/000501792
- Kyranou M, Paul SM, Dunn LB, et al. Differences in depression, anxiety, and quality of life between women with and without breast pain prior to breast cancer surgery. Eur J Oncol Nurs. 2013;17(2):190-5. doi: 10.1016/j.ejon.2012.06.001
- Hubbard TJ, Sharma A, Ferguson DJ. Breast pain: assessment, management, and referral criteria. Br J Gen Pract. 2020;70(697):419-20. doi: 10.3399/bjgp20X712133
- Olawaiye A, Withiam-Leitch M, Danakas G, Kahn K. Mastalgia: a review of management. J Reprod Med. 2005;50(12):933-9.
- Joyce DP, Alamiri J, Lowery AJ, et al. Breast clinic referrals: can mastalgia be managed in primary care? Ir J Med Sci. 2014;183(4):639-42. doi: 10.1007/s11845-013-1066-z
- Рожкова Н.И., Бурдина И.И., Запирова С.Б., и др. Лечение диффузных доброкачественных заболеваний молочной железы и мастодинии. Акушерство, гинекология и репродукция. 2015;9(3):22-7 [Rozhkova NI, Burdina II, Zapirova SB, et al. Lechenie diffuznykh dobrokachestvennykh zabolevanii molochnoi zhelezy i mastodinii. Akusherstvo, ginekologiia i reproduktsiia. 2015;9(3):22-7 (in Russian)]. doi: 10.17749/2070-4968.2015.9.3.022-027
- Мастопатии. Под ред. А.Д. Каприна, Н.И. Рожковой. М.: ГЭОТАР- Медиа, 2019 [Mastopathy. Ed. by AD Kaprin, NI Rozhkova. Moscow: GEOTAR-Media, 2019 (in Russian)].
- Jaafarnejad F, Adibmoghaddam E, Emami SA, Saki A. Compare the effect of flaxseed, evening primrose oil and Vitamin E on duration of periodic breast pain. J Educ Health Promot. 2017;6:85. doi: 10.4103/jehp.jehp_83_16
- Stachs A, Stubert J, Reimer T, Hartmann S. Benign Breast Disease in Women. Dtsch Arztebl Int. 2019;116(33-34):565-74. doi: 10.3238/arztebl.2019.0565
- Клинические рекомендации «Доброкачественная дисплазия молочной железы». 2020 [Klinicheskie rekomendatsii “Dobrokachestvennaia displaziia molochnoi zhelezy”. 2020 (in Russian)].
- Hafiz SP, Barnes NLP, Kirwan CC. Clinical management of idiopathic mastalgia: a systematic review. J Prim Health Care. 2018;10(4):312-23. doi: 10.1071/HC18026
- Wang K, Yee C, Tam S, et al. Prevalence of pain in patients with breast cancer post-treatment: A systematic review. Breast. 2018;42:113-27. doi: 10.1016/j.breast.2018.08.105
- Солопова А.Г., Сафаров А.А., Макацария А.Д. Опыт применения Мастопола в лечении мастопатии и предменструального синдрома. Акушерство, гинекология и репродукция. 2014;8(4):38-41 [Solopova AG, Safarov AA, Makatsariia AD. Opyt primeneniia Mastopola v lechenii mastopatii i predmenstrual'nogo sindroma. Akusherstvo, ginekologiia i reproduktsiia. 2014;8(4):38-41 (in Russian)].
- Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res. 2011;63(Suppl. 11):S240-52. doi: 10.1002/acr.2054
- Кулагина Н.В. Фитотерапия циклической масталгии у пациенток с диффузной доброкачественной дисплазией молочных желез и предменструальным синдромом. Медицинский совет. 2019;6:136-40 [Kulagina NV. Fitoterapiia tsiklicheskoi mastalgii u patsientok s diffuznoi dobrokachestvennoi displaziei molochnykh zhelez i predmenstrual'nym sindromom. Meditsinskii sovet. 2019;6:136-40 (in Russian)]. doi: 10.21518/2079-701X-2019-6-136-140
- Меморандум №2 Комиссии РАН по борьбе с лженаукой и фальсификацией научных исследований «О лженаучности гомеопатии». М., 2017 [Memorandum №2 Komissii RAN po bor'be s lzhenaukoi i fal'sifikatsiei nauchnykh issledovanii "O lzhenauchnosti gomeopatii". Moscow, 2017 (in Russian)].
- Кедрова А.Г., Леваков С.А. Фитопрепараты в лечении гинекологических больных с выраженной масталгией. Опухоли женской репродуктивной системы. 2017;13(4):63-70 [Kedrova AG, Levakov SA. Fitopreparaty v lechenii ginekologicheskikh bol'nykh s vyrazhennoi mastalgiei. Opukholi zhenskoi reproduktivnoi sistemy. 2017;13(4):63-70 (in Russian)]. doi: 10.17650/1994-4098-2017-13-4-63-70.
Supplementary files
