Titre
Beneficial effect of tibolone on mood, cognition, well-being, and sexuality in menopausal women.
Type
article
Institution
Externe
Périodique
Auteur(s)
Genazzani, A.R.
Auteure/Auteur
Pluchino, N.
Auteure/Auteur
Bernardi, F.
Auteure/Auteur
Centofanti, M.
Auteure/Auteur
Luisi, M.
Auteure/Auteur
Liens vers les personnes
ISSN
1176-6328
Statut éditorial
Publié
Date de publication
2006-09
Volume
2
Numéro
3
Première page
299
Dernière page/numéro d’article
307
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
Tibolone is a synthetic molecule used extensively for the management of menopausal symptoms, with the proposed additional advantage of enhanced mood and libido. Tibolone, after oral administration, is rapidly converted into 3 major metabolites: 3alpha-hydroxytibolone and 3beta-hydroxytibolone, which have estrogenic effects, and the Delta(4)-isomer, which has progestogenic and androgenic effects. The tissue-selective effects of tibolone are the result of metabolism, of enzyme regulation, and of receptor activation which vary in different tissues. Tibolone seems to be effective on estrogen-withdrawal symptoms such as hot flushes, sweating, insomnia, headache, and vaginal dryness, with results generally comparable to the effects exerted by estrogen-based treatments, and the additional property of a progestogenic activity on the endometrium. As well as relieving vasomotor symptoms, tibolone has positive effects on sexual well-being and mood, and improves dyspareunia and libido. These effects may depend on both estrogenic and androgenic actions exerted at the genital level and in the central nervous system, and on a reduction of sex-hormone-binding globulin and an increase of free testosterone, without affecting Delta-5 androgens levels. Based on the evidence available, tibolone is a valuable treatment option to relieve menopausal complaints, especially in women suffering persistent fatigue, blunted motivation, and loss of sexual desire despite an adequate estrogen replacement.
PID Serval
serval:BIB_CFF100CEB3E3
PMID
Date de création
2023-09-15T11:25:01.555Z
Date de création dans IRIS
2025-05-21T03:32:00Z