Therapeutics Supplements and Botanicals

The effect of vitamin D supplementation on the size of uterine leiomyoma in women with vitamin D deficiency

Hajhashemi M, Ansari M, Haghollahi F, Eslami B

Caspian journal of internal medicine, 10(2), 125-131, 2019
DOI 10.22088/cjim.10.2.125 PMID 31363390 PMC PMC6619469

RRM Academy Synopsis

Fibroids Were Smaller After Vitamin D Than Placebo in Deficient Women

A double-blind trial of 69 Iranian women with fibroids and low vitamin D found fibroids were smaller after vitamin D than after placebo, 52.58 versus 61.11 mm. Women took vitamin D or an identical placebo for 10 weeks. Vitamin D blood levels were significantly higher in that group. Placebo-group fibroids showed no significant change.

Key Findings

  • Sixty-nine women completed the trial. All had low vitamin D and one or two fibroids, and took vitamin D or an identical placebo for 10 weeks.
  • After 10 weeks, the average fibroid measured 52.58 mm in the vitamin D group and 61.11 mm in the placebo group (P=0.006).
  • Average fibroid size in the placebo group showed no significant change over the trial (P=0.315).
  • Vitamin D levels were significantly higher in the vitamin D group than in the placebo group after 10 weeks (P<0.001).
  • The authors report that no case of toxicity was observed.

Interpretation

This randomized, double-blind, placebo-controlled trial tested whether vitamin D changes fibroid size. Women aged 35 to 49 with one or two fibroids and low vitamin D took part and received vitamin D or placebo for 10 weeks. The authors note the results may not apply to women of other ethnicities and call for larger trials.

RRM Context

Earlier studies linked low vitamin D to fibroids. Fibroids are a leading cause of hysterectomy. Restorative reproductive medicine looks for fixable causes before removing an organ.

Abstract

Background

Uterine leiomyomas (fibroids) are the most common benign pelvic tumors in women of reproductive age with an incidence ranging from 5.4% to 77%, Also, there is a high prevalence of vit D deficiency in Iran and there are the numbers of in vivo and vitro biological studies on the relationship of vitamin D and uterine leiomyomas. The aim of this study was to evaluate the effect of vit D supplementation on the size of uterine leiomyoma in women with vit D deficiency.

Methods

This double-blind prospective clinical trial was performed on 69 patients with uterine leiomyomas who had vit D deficiency. Group A (n=35) was treated with vit D 50,000 IU every 2 weeks for 10 weeks, while group B (n=34) received placebo with same color and shape. Finally, the leiomyoma size in both groups was compared (IRCT: 20160521027998N5).

Results

After a 10-week intervention, 25-hydroxyvitamin D3 levels were significantly higher in group receiving vitamin D (36.08 vs 16.25 ng/ml). (P<0.001) Leiomyomas size in vit D group significantly decreased as compared to placebo group (52.58 vs 61.11 mm, respectively).

Conclusion

Our results showed that administration of vit D3 may reduce the size of leiomyoma. It seems that vitamin D administration is the effective way to treat leiomyoma.

Topics

By this author

Related research

Therapeutics › Supplements and Botanicals › Vitamins and Minerals · Uterine and Pelvic Conditions › Fibroids › Fibroid Management · Lifestyle and Environment › Nutrition and Metabolic Health › Dietary Patterns
Maryam Hajhashemi, Maryam Ansari, Fedyeh Haghollahi, Bita Eslami
M Hajhashemi, M Ansari, F Haghollahi, B Eslami
PMID 31363390 31363390 DOI 10.22088/cjim.10.2.125 10.22088/cjim.10.2.125 Hajhashemi et al. 2019, Hajhashemi 2019