Malhotra KP, Sherpa M, Bhatia A. Centchroman: is unsupervised long-term use warranted? Case report.
EUR J CONTRACEP REPR 2011;
16:403-6. [PMID:
21777048 DOI:
10.3109/13625187.2011.595851]
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Abstract
OBJECTIVES
Centchroman (Ormeloxifene) is a synthetic non-steroidal compound used as an oral and a post-coital contraceptive. It is currently under trial for treatment of breast cancer and postmenopausal osteoporosis. Centchroman has been reported to induce only minimal side effects and no hormonal imbalance.
CASE
A young woman who used centchroman for a long time in an unsupervised fashion presented with menorrhagia, which was controlled with norethisterone. Her massively enlarged uterus showed extensive decidual changes in a hyperplastic endometrium, and diffuse microglandular cervical hyperplasia.
CONCLUSIONS
The case suggests a prominent oestrogenic effect of centchroman on the uterus. This could be a significant adverse effect related to prolonged therapy. Lengthy intake of centchroman requires medical surveillance and long-term studies are needed.
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