June 8, 2026 · Climacteric : the journal of the International Menopause Society · DOI: 10.1080/13697137.2026.2664747

The use of conjugated estrogens and bazedoxifene for the management of vasomotor symptoms in premenopausal and menopausal patients with endometriosis: a systematic review

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This systematic review aimed to evaluate the effectiveness of conjugated estrogens and bazedoxifene (CE/BZA) in managing vasomotor symptoms in premenopausal and menopausal patients with endometriosis. The review found only limited and biased evidence from a case report and a case series, indicating potential symptom relief but highlighting the need for large-scale randomized controlled trials to confirm safety and efficacy in this population. The authors conclude that while CE/BZA may offer some benefits, current evidence is insufficient to guide clinical practice.

Javier C Mejia-Gomez, Elizabeta Shprits, Carys Sosea, Brenna Leslie, Siddhi Mathur, Salwa Farooqi, Areeba Chaudhry, Vanessa Bacal, Ala Essalah, Nada Shaltout, Alison Shea, Corey Sermer, Sara Hojabri, Wendy Wolfman, Noah Stancati, Michelle Jacobson

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