Comparison of cycle control with a combined contraceptive vaginal ring and oral levonorgestrel/ethinyl estradiol

Bjarnadóttir, Ragnheiður I.; Tuppurainen, Marjo; Killick, S.R.

doi:10.1067/mob.2002.121103

Cited by 147 publications

(86 citation statements)

References 16 publications

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“…CCVR has excellent cycle control. (19,20) Cycle control during CCVR use was assessed by vaginal blood loss classified as either withdrawal bleeding (bleeding per vaginum during ring-free week) or irregular bleeding (unpredictable bleeding p/v during CCVR use period). Incidence of withdrawal bleeding occurs in 100% of cycle observed with mean duration of 4.2 days of which early withdrawal bleeding was 1.2% and late withdrawal bleeding was 13.7%.…”

Section: Resultsmentioning

confidence: 99%

“…The incidence of intended bleeding pattern was 95% which was comparable to studies conducted by Dieden et al (2002), (19) and Bjarnadottir et al (2002). (20) In this study, a 7% increase or decrease in body weight was taken to be clinically significant. Our study showed an increase of 0.2% and decrease of 0.18% which was clinically non-significant.…”

Section: Resultsmentioning

confidence: 99%

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To Study the Acceptability and Efficacy of Combined Contraceptive Vaginal Ring Amidst Indian Women

Dam¹,

Paul²,

Banerjee³

et al. 2015

jemds

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OBJECTIVES:To study the efficacy, and acceptability and reasons for discontinuity of CCVRs in Indian women along with cycle control, safety aspects, local and systemic adverse effects, chances of spontaneous expulsion and partner compliance. METHODS: This interventional longitudinal study included 45 married women aged between 18-45 years seeking reversible means of contraception but with no history of usage of any form of hormonal contraceptives in the previous 6 months. The outcome variables were measured in terms of contraceptive efficacy, cycle regularity, systemic effects on blood pressure, liver function, body weight, lipid parameters and blood sugar along with local effect on cervix and vagina. Patient compliance, acceptability and spouse compliance was also measured by questionnaires. RESULTS: In this study there were no unwanted pregnancies in women amongst 117 exposed cycles. The incidence of intended bleeding pattern was 95%, the effect of CCVR on liver function, blood pressure, etc. was not clinically relevant. It was not associated with an increased risk of cervical or vaginal abnormalities, 96% women were satisfied with the ring usage and 97% would recommend it to others, 70% of women and 82% of their partners never/ rarely felt the ring during intercourse. CONCLUSION: From the present study, it can be concluded that CCVR is an effective contraceptive with good cycle control, minimal systemic or local adverse effects along with low incidence of spontaneous expulsion and higher level of user and partner acceptability.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

To Study the Acceptability and Efficacy of Combined Contraceptive Vaginal Ring Amidst Indian Women

Dam¹,

Paul²,

Banerjee³

et al. 2015

jemds

View full text Add to dashboard Cite

show abstract

“…However, a retrospective analysis of 2893 women (613 of whom were overweight or obese) using two different low-dose oral contraceptive formulations found no difference in breakthrough bleeding or spotting. 30 It can only be presumed that cycle control in obese women using non-oral preparations is equally efficacious.…”

Section: Obesity and Contraceptive Efficacy Combined Hormonal Regimensmentioning

confidence: 99%

Obesity and contraception: controversy?

Goldberg¹,

Cardamone²,

Murthy

2012

OAJC

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Obesity is increasing worldwide and is affecting the reproductive health of women. Contraceptive considerations are difficult in obese women given concerns about efficacy and comorbid conditions. Once surgical treatment of obesity has occurred and weight loss initiated, fertility risks increase and unintended pregnancy can result; often at the time of greatest weight loss. Family planning counseling in the obese patient must account for both preoperative conditions as well as postoperative return to fertility.

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“…24 In two studies, the comparator was an oral contraceptive with 30 µg of EE and 150 µg of LNG. 25,26 In the other study, the ring was compared with two different pills, one with 20 µg of EE and 100 µg of LNG, and the other with 15 µg of EE and 60 µg of gestodene. 27 The percentage of women with intermenstrual bleeding in the four studies ranged from 1.1%-9.5%, in the ring groups, and from 3.5%-35.8% in the pill groups.…”

Section: Bleeding Patternmentioning

confidence: 99%

Efficacy, safety, and patient acceptability of the etonogestrel and ethinyl estradiol vaginal ring

Lete¹,

Arrilucea²,

Rodríguez³

et al. 2014

OAJC

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Abstract:The contraceptive vaginal ring (CVR) is a combined hormonal contraceptive method, containing ethinyl estradiol and etonogestrel, that works by inhibiting ovulation. It differs from combined oral contraceptives (COCs) in the route of administration, which is vaginal, and the frequency of administration, which is monthly. The efficacy of the CVR is similar to that of COCs but compliance appears to be better in typical users. The CVR enables appropriate control of the menstrual cycle, with a similar side effect profile to COCs, while achieving good user acceptance. Different studies have established noncontraceptive beneficial effects of the CVR; for example, it can be useful for treating dysmenorrhea or excess menstrual bleeding. Recent epidemiological studies have confirmed that the risk of venous thromboembolism with the CVR is similar to that of COCs, including COCs that contain levonorgestrel.

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Comparison of cycle control with a combined contraceptive vaginal ring and oral levonorgestrel/ethinyl estradiol

Cited by 147 publications

References 16 publications

To Study the Acceptability and Efficacy of Combined Contraceptive Vaginal Ring Amidst Indian Women

To Study the Acceptability and Efficacy of Combined Contraceptive Vaginal Ring Amidst Indian Women

Obesity and contraception: controversy?

Efficacy, safety, and patient acceptability of the etonogestrel and ethinyl estradiol vaginal ring

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