Hajhashemi Maryam, Ansari Maryam, Haghollahi Fedyeh, Eslami Bita
Department of Obstetrics and Gynecology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Student Research Committee, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Caspian J Intern Med. 2019 Spring;10(2):125-131. doi: 10.22088/cjim.10.2.125.
Uterine leiomyomas (fibroids) are the most common benign pelvic tumors in women of reproductive age with an incidence ranging from 5.4% to 77%, Also, there is a high prevalence of vit D deficiency in Iran and there are the numbers of in vivo and vitro biological studies on the relationship of vitamin D and uterine leiomyomas The aim of this study was to evaluate the effect of vit D supplementation on the size of uterine leiomyoma in women with vit D deficiency.
This double-blind prospective clinical trial was performed on 69 patients with uterine leiomyomas who had vit D deficiency. Group A (n=35) was treated with vit D 50,000 IU every 2 weeks for 10 weeks, while group B (n=34) received placebo with same color and shape. Finally, the leiomyoma size in both groups was compared (IRCT: 20160521027998N5).
After a 10-week intervention, 25-hydroxyvitamin D levels were significantly higher in group receiving vitamin D (36.08 vs 16.25 ng/ml). (P<0.001) Leiomyomas size in vit D group significantly decreased as compared to placebo group (52.58 vs 61.11 mm, respectively).
Our results showed that administration of vit D3 may reduce the size of leiomyoma. It seems that vitamin D administration is the effective way to treat leiomyoma.
子宫平滑肌瘤(肌瘤)是育龄女性中最常见的良性盆腔肿瘤,发病率在5.4%至77%之间。此外,伊朗维生素D缺乏的患病率很高,并且有许多关于维生素D与子宫平滑肌瘤关系的体内和体外生物学研究。本研究的目的是评估补充维生素D对维生素D缺乏女性子宫平滑肌瘤大小的影响。
本双盲前瞻性临床试验对69例患有子宫平滑肌瘤且维生素D缺乏的患者进行。A组(n = 35)每2周接受50,000 IU维生素D治疗,共10周,而B组(n = 34)接受颜色和形状相同的安慰剂。最后,比较两组的肌瘤大小(伊朗临床试验注册中心:20160521027998N5)。
经过10周的干预,接受维生素D组的25-羟基维生素D水平显著更高(36.08对16.25 ng/ml)。(P<0.001)与安慰剂组相比,维生素D组的肌瘤大小显著减小(分别为52.58对61.11 mm)。
我们的结果表明,给予维生素D3可能会减小肌瘤的大小。似乎补充维生素D是治疗平滑肌瘤的有效方法。