The aim of this study was to compare the effect of Tibolone and conventional hormone therapy on climacteric symptoms in postmenopausal women. Inclusion criteria: married, menopause after 40years old and 12 months amenorrhea or 6 month amenorrhea and serum Estradiol less than 50 pg/dl. Exclusion criteria: any history of active hepatitis, cardiovascular, inflammation disease (infectious or uninfectious), thoromboambolic or cerebrovascular disorder, psychosis, hyper-lipidemia, history of chemotherapy or radiation, HRT treatment in previous 6 months, use of vitamin E, fluoxetine , soy menopause, Propranolol and another herbal or chemical drug, smoking, alcohol or addiction.
A total of 154 healthy postmenopausal women with no absolute contraindication for hormone replacement therapy (HRT) were divided into 3 groups: group A: Continuous conjugated estrogen (CE) 0.625mg plus medroxyprogestrone acetate (MPA) 2.5mg (N=48), group B: Tibolone 2.5mg/day (N=53) and group C: placebo group received only Ca-D (500 mg +200 IU) for six months. In this study At baseline and after 6 months of treatment Blood was collected for sex hormone determinations. Climacteric symptoms and Sexual function were assessed by Greene Climacteric Scale and Female Sexual Function Index (FSFI) respectively.