Table 4. Complications and morbidities associated with progestational therapy.
Variables | MA group (n=74) | LNG-IUS group (n=74) | p-value | ||
---|---|---|---|---|---|
Hysterectomy (due to persistence/progression) | 15 (20.3) | 6 (8.1) | 0.033* | ||
Post-hysterectomy histopathological result | |||||
Normal | 1 | 0 | |||
Atypical hyperplasia | 15 | 5 | |||
Endometrial carcinoma | 0 | 1 | |||
Weight after 12 months | 96.9±8.3 | 93.8±5.5 | 0.009* | ||
Weight after 24 months | 100±8.7 | 95.2±5.1 | <0.001* | ||
Weight gain after 12 months | 4.7±4 | 2.7±2.6 | 0.001* | ||
Weight gain after 24 months | 7.8±5.1 | 4.1±2.9 | <0.001* | ||
Glycemic control at 3 months of therapy | 0.003* | Post-hoc | |||
Normal | 43 (58.1) | 53 (71.6) | |||
Controlled pretherapy diabetes | 6 (8.1) | 15 (20.3) | 0.15 | ||
Poorly controlled pretherapy diabetes | 8 (10.8) | 2 (2.7) | 0.32 | ||
New onset glucose intolerance | 11 (14.9) | 2 (2.7) | 0.03* | ||
New-onset diabetes mellitus | 3 (4.1) | 0 (0.0) | 0.31 | ||
Glycemic control at 12 months of therapy | 0.006* | Post-hoc | |||
Normal | 40 (54.1) | 50 (67.6) | |||
Controlled pretherapy diabetes | 7 (9.5) | 15 (20.3) | 0.28 | ||
Poorly controlled pretherapy diabetes | 7 (9.5) | 2 (2.7) | 0.33 | ||
New onset glucose intolerance | 9 (12.2) | 5 (6.8) | 0.25 | ||
New-onset diabetes mellitus | 8 (10.8) | 0 (0.0) | 0.01* | ||
Blood pressure at 6 months of therapy | 0.030* | Post-hoc | |||
Normal | 58 (78.4) | 63 (85.1) | |||
Controlled pretherapy hypertension | 3 (4.1) | 8 (10.8) | 0.36 | ||
Poorly controlled pretherapy hypertension | 3 (4.1) | 1 (1.4) | 0.91 | ||
New onset hypertension | 7 (9.5) | 0 (0.0) | 0.02* | ||
Blood pressure at 12 months of therapy | 0.068 | Post-hoc | |||
Normal | 56 (75.7) | 60 (81.1) | |||
Controlled pretherapy hypertension | 2 (2.7) | 8 (10.8) | 0.16 | ||
Poorly controlled pretherapy hypertension | 4 (5.4) | 1 (1.4) | 0.50 | ||
New onset hypertension | 9 (12.2) | 3 (4.1) | 0.20 | ||
Breakthrough bleeding | 7 (9.5) | 16 (21.6) | 0.119 | ||
Thromboembolic disorders | 1 (1.4) | 0 (0.0) | 0.541 |
Data are presented as number (percentage) or mean ± standard deviation.
LNG-IUS, levonorgestrel intrauterine system; MA, megestrol acetate.
*Statistically significant.