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Table 3 Main results of the three RCT investigating the efficacy of AIs in preventing symptoms recurrence after surgery for endometriosis (secondary outcome)

From: Use of aromatase inhibitors to treat endometriosis-related pain symptoms: a systematic review

Authors

Treatment

Length of treatment

Length of follow-up after discontinuation of hormonal therapy

Results

Soysal et al. [39]

- anastrozole (1 mg/day) or placebo

- goserelin 3.6 mg/4 weeks

- elemental calcium (1200 mg/day), vitamin D (800 I.U./day)

6 months

24 months

The recurrence rate was 7.5% (3/40) in patients receiving anastrozole and goserelin and 35.0% (14/40) in patients receiving goserelin alone.

The median time to detect symptom recurrence was > 24 months in patients receiving anastrozole and goserelin and 17 months in patients receiving goserelin alone.

Roghaei et al. [45]

- letrozole 2.5 mg/day or danazol (600 mg/day) or placebo

- elemental calcium (1000 mg/day), vitamin D (880 I.U./day)

6 months

0 months

At the end of the treatment, the intensity of pain symptoms was significantly lower in patients treated with letrozole or danazol than in those treated with placebo.

Alborzi et al. [46]

letrozole (2.5 mg/day) or triptorelin (3.75 mg/4 weeks) or no treatment

2 months

12 months

The rate or recurrence was 6.4% (3/47) in patients treated with letrozole, 5.0% (2/40) in patients treated with triptorelin and 5.3% (3/57) in patients receiving no treatment (not significant).