Clinical Approaches to Nestorone Subdermal Implant Therapy in Women’s Health

Segesterone acetate (SA) or Nestorone, a fourth-generation progestogen, is a synthetic compound with high progestational activity and no androgenic, glucocorticoid, or anabolic effects. However, due to its oral inactivity, SA must be used by other routes, such as subcutaneous. Thus, considering its...

Full description

Bibliographic Details
Main Authors: Guilherme Renke, Consuelo Callizo, Raphaela Paes, Mariana Antunes, Glaycon Michels, Luana Concha, Ordânio Almeida, Christiane Valente, Thomaz Baesso, Bruna Giovannoni
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/9/2586
_version_ 1797581092098670592
author Guilherme Renke
Consuelo Callizo
Raphaela Paes
Mariana Antunes
Glaycon Michels
Luana Concha
Ordânio Almeida
Christiane Valente
Thomaz Baesso
Bruna Giovannoni
author_facet Guilherme Renke
Consuelo Callizo
Raphaela Paes
Mariana Antunes
Glaycon Michels
Luana Concha
Ordânio Almeida
Christiane Valente
Thomaz Baesso
Bruna Giovannoni
author_sort Guilherme Renke
collection DOAJ
description Segesterone acetate (SA) or Nestorone, a fourth-generation progestogen, is a synthetic compound with high progestational activity and no androgenic, glucocorticoid, or anabolic effects. However, due to its oral inactivity, SA must be used by other routes, such as subcutaneous. Thus, considering its peculiar properties, the SA subdermal implant is successfully used in female contraception and postmenopausal hormone replacement therapy (HRT). In recent years, its potential uses in endometriosis, polycystic ovaries syndrome (PCOS), and a new therapeutic possibility for neuroprotection have made this treatment extremely interesting. However, the absence of a standardized dose and the long-term safety of SA implant therapy in women is still controversial. Here, we present the possible indications, doses, limitations, and side effects of SA implant therapy.
first_indexed 2024-03-10T23:00:19Z
format Article
id doaj.art-5e50b806b78643f19ac91417f9776cdc
institution Directory Open Access Journal
issn 2227-9059
language English
last_indexed 2024-03-10T23:00:19Z
publishDate 2023-09-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj.art-5e50b806b78643f19ac91417f9776cdc2023-11-19T09:43:23ZengMDPI AGBiomedicines2227-90592023-09-01119258610.3390/biomedicines11092586Clinical Approaches to Nestorone Subdermal Implant Therapy in Women’s HealthGuilherme Renke0Consuelo Callizo1Raphaela Paes2Mariana Antunes3Glaycon Michels4Luana Concha5Ordânio Almeida6Christiane Valente7Thomaz Baesso8Bruna Giovannoni9Nutrindo Ideais Performance and Nutrition Research Center, Rio de Janeiro 22411-040, BrazilCentro de Pesquisa e Assistência em Reprodução Humana, Salvador 40210-341, BrazilNutrindo Ideais Performance and Nutrition Research Center, Rio de Janeiro 22411-040, BrazilNutrindo Ideais Performance and Nutrition Research Center, Rio de Janeiro 22411-040, BrazilNutrindo Ideais Performance and Nutrition Research Center, Rio de Janeiro 22411-040, BrazilNutrindo Ideais Performance and Nutrition Research Center, Rio de Janeiro 22411-040, BrazilNutrindo Ideais Performance and Nutrition Research Center, Rio de Janeiro 22411-040, BrazilNutrindo Ideais Performance and Nutrition Research Center, Rio de Janeiro 22411-040, BrazilNutrindo Ideais Performance and Nutrition Research Center, Rio de Janeiro 22411-040, BrazilNutrindo Ideais Performance and Nutrition Research Center, Rio de Janeiro 22411-040, BrazilSegesterone acetate (SA) or Nestorone, a fourth-generation progestogen, is a synthetic compound with high progestational activity and no androgenic, glucocorticoid, or anabolic effects. However, due to its oral inactivity, SA must be used by other routes, such as subcutaneous. Thus, considering its peculiar properties, the SA subdermal implant is successfully used in female contraception and postmenopausal hormone replacement therapy (HRT). In recent years, its potential uses in endometriosis, polycystic ovaries syndrome (PCOS), and a new therapeutic possibility for neuroprotection have made this treatment extremely interesting. However, the absence of a standardized dose and the long-term safety of SA implant therapy in women is still controversial. Here, we present the possible indications, doses, limitations, and side effects of SA implant therapy.https://www.mdpi.com/2227-9059/11/9/2586contraceptionmenopauseimplantNestoronesegesterone acetatehormone replacement therapy
spellingShingle Guilherme Renke
Consuelo Callizo
Raphaela Paes
Mariana Antunes
Glaycon Michels
Luana Concha
Ordânio Almeida
Christiane Valente
Thomaz Baesso
Bruna Giovannoni
Clinical Approaches to Nestorone Subdermal Implant Therapy in Women’s Health
Biomedicines
contraception
menopause
implant
Nestorone
segesterone acetate
hormone replacement therapy
title Clinical Approaches to Nestorone Subdermal Implant Therapy in Women’s Health
title_full Clinical Approaches to Nestorone Subdermal Implant Therapy in Women’s Health
title_fullStr Clinical Approaches to Nestorone Subdermal Implant Therapy in Women’s Health
title_full_unstemmed Clinical Approaches to Nestorone Subdermal Implant Therapy in Women’s Health
title_short Clinical Approaches to Nestorone Subdermal Implant Therapy in Women’s Health
title_sort clinical approaches to nestorone subdermal implant therapy in women s health
topic contraception
menopause
implant
Nestorone
segesterone acetate
hormone replacement therapy
url https://www.mdpi.com/2227-9059/11/9/2586
work_keys_str_mv AT guilhermerenke clinicalapproachestonestoronesubdermalimplanttherapyinwomenshealth
AT consuelocallizo clinicalapproachestonestoronesubdermalimplanttherapyinwomenshealth
AT raphaelapaes clinicalapproachestonestoronesubdermalimplanttherapyinwomenshealth
AT marianaantunes clinicalapproachestonestoronesubdermalimplanttherapyinwomenshealth
AT glayconmichels clinicalapproachestonestoronesubdermalimplanttherapyinwomenshealth
AT luanaconcha clinicalapproachestonestoronesubdermalimplanttherapyinwomenshealth
AT ordanioalmeida clinicalapproachestonestoronesubdermalimplanttherapyinwomenshealth
AT christianevalente clinicalapproachestonestoronesubdermalimplanttherapyinwomenshealth
AT thomazbaesso clinicalapproachestonestoronesubdermalimplanttherapyinwomenshealth
AT brunagiovannoni clinicalapproachestonestoronesubdermalimplanttherapyinwomenshealth