Effect of a continuous regimen of contraceptive combination of ethinylestradiol and drospirenone on lipid, carbohydrate and coagulation profiles

Abstract Background The objective of this study was to evaluate the effects of a contraceptive pill containing ethinylestradiol (30 mcg) and drospirenone (3 mg) in a continuous regimen on lipid, carbohydrate and coagulation parameters. Study Design This open, prospective, randomized study included 7...

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Veröffentlicht in:Contraception (Stoneham) 2010-02, Vol.81 (2), p.102-106
Hauptverfasser: Machado, Rogério Bonassi, de Melo, Nilson Roberto, Maia, Hugo, Cruz, Achilles Machado
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container_end_page 106
container_issue 2
container_start_page 102
container_title Contraception (Stoneham)
container_volume 81
creator Machado, Rogério Bonassi
de Melo, Nilson Roberto
Maia, Hugo
Cruz, Achilles Machado
description Abstract Background The objective of this study was to evaluate the effects of a contraceptive pill containing ethinylestradiol (30 mcg) and drospirenone (3 mg) in a continuous regimen on lipid, carbohydrate and coagulation parameters. Study Design This open, prospective, randomized study included 78 participants (mean age 27.8 years) who were randomized into two groups to use the pill continuously for 168 days or for six 28-day cycles with a 7-day hormone-free interval between cycles. Markers of lipid, carbohydrate and coagulation profiles were measured prior to initiation and after the 6 months of pill use. Results No statistically significant differences were found between the two contraceptive regimens with respect to carbohydrate or lipid profiles or in the parameters related to coagulation. Conclusions The contraceptive combination of ethinylestradiol and drospirenone used in a continuous regimen was associated with metabolic alterations similar to those found during the traditional cyclic regimen of oral contraceptive use.
doi_str_mv 10.1016/j.contraception.2009.08.009
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Study Design This open, prospective, randomized study included 78 participants (mean age 27.8 years) who were randomized into two groups to use the pill continuously for 168 days or for six 28-day cycles with a 7-day hormone-free interval between cycles. Markers of lipid, carbohydrate and coagulation profiles were measured prior to initiation and after the 6 months of pill use. Results No statistically significant differences were found between the two contraceptive regimens with respect to carbohydrate or lipid profiles or in the parameters related to coagulation. Conclusions The contraceptive combination of ethinylestradiol and drospirenone used in a continuous regimen was associated with metabolic alterations similar to those found during the traditional cyclic regimen of oral contraceptive use.</description><identifier>ISSN: 0010-7824</identifier><identifier>EISSN: 1879-0518</identifier><identifier>DOI: 10.1016/j.contraception.2009.08.009</identifier><identifier>PMID: 20103445</identifier><identifier>CODEN: CCPTAY</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Analysis of Variance ; Androstenes - administration &amp; dosage ; Androstenes - adverse effects ; Biological and medical sciences ; Birth control ; Blood coagulation ; Blood Coagulation - drug effects ; Blood Coagulation Tests ; Blood Glucose - metabolism ; Continuous use ; Contraceptives, Oral - administration &amp; dosage ; Contraceptives, Oral - adverse effects ; Drospirenone ; Drug Administration Schedule ; Drug Combinations ; Ethinyl Estradiol - administration &amp; dosage ; Ethinyl Estradiol - adverse effects ; Ethinylestradiol ; Female ; Genital system. Reproduction ; Gynecology. Andrology. Obstetrics ; Hormonal contraception ; Humans ; Insulin - blood ; Intention to Treat Analysis ; Lipids - blood ; Medical sciences ; Metabolic profile ; Obstetrics and Gynecology ; Oral contraceptive ; Patient Selection ; Pharmacology. 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Study Design This open, prospective, randomized study included 78 participants (mean age 27.8 years) who were randomized into two groups to use the pill continuously for 168 days or for six 28-day cycles with a 7-day hormone-free interval between cycles. Markers of lipid, carbohydrate and coagulation profiles were measured prior to initiation and after the 6 months of pill use. Results No statistically significant differences were found between the two contraceptive regimens with respect to carbohydrate or lipid profiles or in the parameters related to coagulation. Conclusions The contraceptive combination of ethinylestradiol and drospirenone used in a continuous regimen was associated with metabolic alterations similar to those found during the traditional cyclic regimen of oral contraceptive use.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Androstenes - administration &amp; dosage</subject><subject>Androstenes - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Blood coagulation</subject><subject>Blood Coagulation - drug effects</subject><subject>Blood Coagulation Tests</subject><subject>Blood Glucose - metabolism</subject><subject>Continuous use</subject><subject>Contraceptives, Oral - administration &amp; dosage</subject><subject>Contraceptives, Oral - adverse effects</subject><subject>Drospirenone</subject><subject>Drug Administration Schedule</subject><subject>Drug Combinations</subject><subject>Ethinyl Estradiol - administration &amp; dosage</subject><subject>Ethinyl Estradiol - adverse effects</subject><subject>Ethinylestradiol</subject><subject>Female</subject><subject>Genital system. Reproduction</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hormonal contraception</subject><subject>Humans</subject><subject>Insulin - blood</subject><subject>Intention to Treat Analysis</subject><subject>Lipids - blood</subject><subject>Medical sciences</subject><subject>Metabolic profile</subject><subject>Obstetrics and Gynecology</subject><subject>Oral contraceptive</subject><subject>Patient Selection</subject><subject>Pharmacology. 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Reproduction</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hormonal contraception</topic><topic>Humans</topic><topic>Insulin - blood</topic><topic>Intention to Treat Analysis</topic><topic>Lipids - blood</topic><topic>Medical sciences</topic><topic>Metabolic profile</topic><topic>Obstetrics and Gynecology</topic><topic>Oral contraceptive</topic><topic>Patient Selection</topic><topic>Pharmacology. 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subjects Adolescent
Adult
Analysis of Variance
Androstenes - administration & dosage
Androstenes - adverse effects
Biological and medical sciences
Birth control
Blood coagulation
Blood Coagulation - drug effects
Blood Coagulation Tests
Blood Glucose - metabolism
Continuous use
Contraceptives, Oral - administration & dosage
Contraceptives, Oral - adverse effects
Drospirenone
Drug Administration Schedule
Drug Combinations
Ethinyl Estradiol - administration & dosage
Ethinyl Estradiol - adverse effects
Ethinylestradiol
Female
Genital system. Reproduction
Gynecology. Andrology. Obstetrics
Hormonal contraception
Humans
Insulin - blood
Intention to Treat Analysis
Lipids - blood
Medical sciences
Metabolic profile
Obstetrics and Gynecology
Oral contraceptive
Patient Selection
Pharmacology. Drug treatments
Prospective Studies
Statistics, Nonparametric
title Effect of a continuous regimen of contraceptive combination of ethinylestradiol and drospirenone on lipid, carbohydrate and coagulation profiles
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