title: Efficacy, safety and acceptability of a seven-day, transdermal estradiol patch for estrogen replacement therapy.
abstract: OBJECTIVE
  To evaluate the efficacy, safety and acceptability of a seven-day, transdermal estradiol patch, in the treatment of menopausal symptoms.
  
  
  METHODS
  Open-label trial.
  
  
  METHODS
  Hat Yai Regional Hospital, Thailand.
  
  
  METHODS
  Hysterectomized women with surgical or natural menopause.
  
  
  METHODS
  The clients received a 12.5 cm2 matrix patch, containing 3.9 mg of estradiol delivering 0.05 mg/day, once a week for six months. The efficacy, safety, and acceptability were evaluated at the end of 1-, 3- and 6-months.
  
  
  RESULTS
  Six-month responses were analyzed among 50 enrolled patients. The mean estradiol level/Follicle Stimulating Hormone/Lutienizing Hormone were 27.88/70.03/31.19, 44.08/53.37/26.86, and 42.43/48.53/24.39 pg/ml, mIU/L, mIU/L at admission, 1- and 3-months, respectively. The average climacteric score was 27.18, 16.60, 12.78, and 12.18 at admission, 1-, 3- and 6-month, respectively. At least 94 per cent of patches were not dislodged more than one quarter. The most common skin irritation was itching, followed by erythema, vesicle, and burning sensation. The patches were generally well tolerated, and acceptability was satisfactory.
  
  
  CONCLUSIONS
  Transdermal estradiol patch effectively reduced the severity of menopausal symptoms, measured by modified climacteric score. Adhesion was found to be excellent. In actual clinical practice, the transdermal patch should be appropriately introduced to tolerant users.
authors.affiliation: Department of Obstetrics and Gynecology, Hat Yai Regional Hospital, Songkhla 90100, Thailand.
authors.forename: Tapnarong
authors.initials: T
authors.lastname: Jarupanich
authors.forename: Surachai
authors.initials: S
authors.lastname: Lamlertkittikul
authors.forename: Verapol
authors.initials: V
authors.lastname: Chandeying
mesh_terms: D000328:Adult; D004958:Estradiol / Q000008:administration & dosage*; D015914:Estrogen Replacement Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged
chemical_list: D004958:Estradiol