Evidence map›Paper›PMID 40158154›Full record

ArticleBMC women's health2025

Sequential therapy of dienogest following relugolix for adenomyosis and impact on symptoms and serum CA125 levels: a case series.

Haruka Nishida, Kohei Takehara, Takako Onodera, Saya Watanabe, Kazuki Takasaki, Yuko Takahashi, Takayuki Ichinose, Mana Hirano, Haruko Hiraike, Kazunori Nagasaka

Abstract readCase Reports
In one paragraph

Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Treatment selection for adenomyosis based on imaging findings and patient characteristics.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Haruka NishidaDepartment of Obstetrics and Gynecology, Teikyo University School of Medicine, Tokyo, 173-8605, Japan.
Kohei TakeharaDepartment of Obstetrics and Gynecology, Teikyo University School of Medicine, Tokyo, 173-8605, Japan.
Takako OnoderaDepartment of Obstetrics and Gynecology, Teikyo University School of Medicine, Tokyo, 173-8605, Japan.
Saya WatanabeDepartment of Obstetrics and Gynecology, Teikyo University School of Medicine, Tokyo, 173-8605, Japan.
Kazuki TakasakiDepartment of Obstetrics and Gynecology, Teikyo University School of Medicine, Tokyo, 173-8605, Japan.
Yuko TakahashiDepartment of Obstetrics and Gynecology, Teikyo University School of Medicine, Tokyo, 173-8605, Japan.
Takayuki IchinoseDepartment of Obstetrics and Gynecology, Teikyo University School of Medicine, Tokyo, 173-8605, Japan.
Mana HiranoDepartment of Obstetrics and Gynecology, Teikyo University School of Medicine, Tokyo, 173-8605, Japan.
Haruko HiraikeDepartment of Obstetrics and Gynecology, Teikyo University School of Medicine, Tokyo, 173-8605, Japan.
Kazunori NagasakaDepartment of Obstetrics and Gynecology, Teikyo University School of Medicine, Tokyo, 173-8605, Japan. nagasakak@med.teikyo-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdenomyosis, characterized by endometrial tissue within the uterine muscle, often presents with severe pelvic pain and menorrhagia. This case series demonstrates the efficacy of sequential therapy involving relugolix followed by dienogest in managing adenomyosis. CASE PRESENTATION: In five patients with adenomyosis, the gonadotropin-releasing hormone antagonist relugolix initially mitigated symptoms and reduced the levels of serum CA125, a marker associated with disease activity. After six months of relugolix, patients were transitioned to dienogest. This sequential approach maintained symptom relief and further stabilized CA125 levels.

conclusionsOur findings demonstrate that sequential therapy provides effective symptom management and long-term disease control. Further, CA125 remains a valuable biomarker for monitoring therapeutic success.

Indexed as

AdenomyosisCA-125 AntigenHormone AntagonistsNandroloneAdultBiomarkersFemaleGonadotropin-Releasing HormoneHumansMiddle AgedPelvic PainTreatment OutcomeBiomarkersCA-125 AntigendienogestGonadotropin-Releasing HormoneHormone AntagonistsNandroloneAdenomyosisCA125DienogestGnRH antagonistHormonal therapyRelugolixSequential therapy

Identifiers

PMID40158154
PMCPMC11954200

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.