Role of centchroman versus danazol in treatment of benign breast disorders

Authors

  • Hanuman Ram Khoja Department of General Surgery, SMS Hospital and Medical College, Jaipur, Rajasthan, India
  • Bodu Ram Barala Department of General Surgery, SMS Hospital and Medical College, Jaipur, Rajasthan, India
  • Saurabh Sharma Department of General Surgery, SMS Hospital and Medical College, Jaipur, Rajasthan, India http://orcid.org/0000-0002-8883-1946
  • Prabha Om Department of General Surgery, SMS Hospital and Medical College, Jaipur, Rajasthan, India
  • Devendra Saini Department of General Surgery, SMS Hospital and Medical College, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-2902.isj20210372

Keywords:

Benign breast disorder, Breast pain, Breast lump, Centchroman, Danazol

Abstract

Background: The breast is a dynamic structure that undergoes cyclical changes throughout the menstrual cycle. Any aberration from normal physiological changes in breast produces different problem in breast. Many drugs are used for treatment for these disorders like Danazol, Bromocriptine, Tamoxifen and LH-RH analogue but still no consensus for any drug is present.

Methods: The aim of our study was to analyze the effectiveness of drug Centchroman and its comparison with Danazol in treatment of benign breast disorders in respect to symptoms relief, decrease in nodularity and lump size, recurrence, cost and side effects of drug. This prospective study was conducted on 250 patients of benign breast disorders attending surgical OPD between May 2018 to September 2019 in SMS medical college and Hospital, Jaipur.

Results: Tolerance and improvements in symptoms in centchroman group was more than danazol (100% vs 92.8%) with less recurrence in former group. While side effects varied between the two groups with menstrual irregularities more common in centchroman group.

Conclusions: The study shows that centchroman is safe, more effective and less expensive to Danazol for the treatment of benign breast disorders in long term.

Author Biography

Saurabh Sharma, Department of General Surgery, SMS Hospital and Medical College, Jaipur, Rajasthan, India

MBBS, MS (JR3) DEPARTMENT OF GENERAL SURGERY

References

Tejwani PL, Srivastava A, Nerkar H, Dhar A, Hari S, Thulkar S, et al. Centchroman regresses mastalgia: a randomized comparison with danazol. Indian J Surg. 2011;73(3):199-205.

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Greenblatt RB, Dmowski WP, Mahesh VB, Scholer HFL. Clinical studies with an antigonadotropin-danazol. Fertil Steril. 22:102,1971

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Ortiz-Mendoza CM, Olvera-Mancilla M. Danazol effectively in control of moderate to severe mastalgia. Cir. 2004;72(6):479-82.

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Published

2021-01-29

Issue

Section

Original Research Articles