@article{3045816, title = "TREATMENT OF POLYCYSTIC OVARIAN DISEASE DURING ADOLESCENCE WITH ETHINYLESTRADIOL CYPROTERONE-ACETATE VERSUS A D-TR-6-LHRH ANALOG", author = "CREATSAS, G and HASSAN, E and DELIGEOROGLOU, E and TOLIS, G and and ARAVANTINOS, D", journal = "International Journal of Gynecology and Obstetrics", year = "1993", volume = "42", number = "2", pages = "147-153", publisher = "ELSEVIER SCI IRELAND LTD", issn = "0020-7292", doi = "10.1016/0020-7292(93)90629-B", keywords = "POLYCYSTIC OVARIAN DISEASE; ADOLESCENCE; LHRH ANALOG; CYPROTERONE ACETATE; HIRSUTISM; OLIGOMENORRHEA", abstract = "OBJECTIVE: This study was undertaken to compare the clinical and endocrinological results of two kinds of treatment on adolescents with polycystic ovarian disease (PCOD). METHOD: Forty-five adolescents with PCOD were randomly allocated into two groups, treated either with ethinylestradiol (EE)/cyproterone acetate (group A) or the GnRH analog D-Tr-6-LHRH (group B). RESULT: No significant changes were detected on the body mass index and waist-hip circumference. A significant improvement of hirsutism was noticed in both groups of patients. A normal menstrual period was recorded in group A adolescents while all group B patients became amenorrheic. A favorable decrease of ovarian volume was detected in both groups. LH/FSH ratio and DELTA4-androstenedione serum levels were found significantly reduced in both groups in comparison to pre-treatment levels. The comparison between the two groups, after 6 months, showed significantly lower values of LH/FSH ratio in group B cases. CONCLUSION: Both forms of treatment are safe and effective to a various degree for the management of PCOD adolescents." }