2020 Volume 11 Issue 1 Special Issue
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Evaluation of Therapeutic Response to Triptorelin Acetate in Girls with Central ‎Precocious Puberty in Kashan University Pediatric Endocrinology Clinic from 2011 ‎to 2017‎ ‎


Mina Ghaffari*‏‎, Kobra Shiasi
Abstract

Introduction and Objective: The standard treatment for central precocious puberty is ‎the use of gonadotropin-releasing hormone agonists; nevertheless, there is still no ‎agreement on those who have not acquired adequate control of puberty with a standard ‎dose of GnRh agonist. Therefore, this study was conducted aiming to determine the ‎response ratio to the Triptorelin Acetate Treatment Program in adequate control of the ‎central precocious puberty of girls referred to endocrinology clinic of Kashan ‎University of Medical Sciences from 2011 to 2017.‎ Materials and Methods: This study as cohort study was performed on 48 girls ‎suffering from central precocious puberty. The treatment with treptorelin acetate was ‎performed once every 28 days, and a clinical examination and measurement of ‎estradiol, LH and FSH levels were performed once every 3 months. The cases without ‎adequate control of puberty based on clinical, laboratory and radiological criteria were ‎treated with a 25-day regimen and in case of the lack of adequate control of puberty, ‎the interval of medicine injection was reduced to 21 days. To analyze the data, the ‎statistical SPSS V.16 software was used.‎ Findings: Totally, 13 (27%) children responded to the once in 28-day regimen and 35 ‎‎(73%) children were regarded in the once in 25-day treatment due to the lack of ‎adequate control, of which 20 (57%) children were treated and 15 (43%) children were ‎treated with the once in 21-day regimen due to the lack of adequate control, that finally ‎adequate control was created in all patients.‎ Conclusion: In girls suffering from central precocious puberty, that adequate control of ‎puberty is not created by 28-day standard regimen, this aim can be achieved by ‎reducing the injection intervals‎.‎


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