2020
DOI: 10.1080/13625187.2020.1797663
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What is the best drug treatment for premenopausal women with bleeding irregularities using the levonorgestrel-releasing intrauterine system? A systematic review

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Cited by 3 publications
(2 citation statements)
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“…These synthetic variants of sex steroids affect endogenous estradiol, progesterone, and testosterone levels by binding to sex steroid receptors and initiating feedback loops. 45,46 For example, the intake of OCs decreases free testosterone levels by increasing hepatic production of SHBG thus binding and decreasing biologically active circulating androgens. Additionally, the use of synthetic progestin and estrogen inhibit the ovarian estradiol and progesterone production by suppressing LH and FSH centrally through negative feedback.…”
Section: Hormonal Contraceptivesmentioning
confidence: 99%
See 1 more Smart Citation
“…These synthetic variants of sex steroids affect endogenous estradiol, progesterone, and testosterone levels by binding to sex steroid receptors and initiating feedback loops. 45,46 For example, the intake of OCs decreases free testosterone levels by increasing hepatic production of SHBG thus binding and decreasing biologically active circulating androgens. Additionally, the use of synthetic progestin and estrogen inhibit the ovarian estradiol and progesterone production by suppressing LH and FSH centrally through negative feedback.…”
Section: Hormonal Contraceptivesmentioning
confidence: 99%
“…47 In users of vaginal rings, oral contraceptive pills, and most of the progesterone only contraceptives the majority of ovulations is inhibited. 45,46 In intrauterine device users however, only about 20% of the ovulations is inhibited. 45,46…”
Section: Hormonal Contraceptivesmentioning
confidence: 99%