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Yasmin: the reason why.

I H Thorneycroft1

  • 1Mobile Ob-Gyn Center, Lunar Research and Department of Obstetrics and Gynecology, University of South Alabama College of Medicine, Alabama 36607, USA.

The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception
|March 28, 2003
PubMed
Summary
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New oral contraceptives with drospirenone offer unique benefits beyond traditional contraception. Drospirenone-containing pills provide improved acne control, reduced fluid retention, and potential weight loss, enhancing user satisfaction and adherence.

Area of Science:

  • Reproductive Health
  • Pharmacology
  • Gynecology

Background:

  • Oral contraceptives (OCs) have evolved significantly over 40 years with dosage reductions and new progestogens.
  • High rates of unintended pregnancy and discontinuation due to side effects and misperceptions persist, especially in women over 35.
  • There is a need for OCs with novel progestogenic properties to improve efficacy and tolerability.

Purpose of the Study:

  • To evaluate the non-contraceptive benefits and efficacy of a new oral contraceptive containing drospirenone (DRSP/EE).
  • To assess the impact of drospirenone's unique antimineralocorticoid and antiandrogenic properties on OC users.
  • To compare the efficacy and side effect profile of DRSP/EE with a reference OC.

Main Methods:

  • Clinical evaluation of a drospirenone-containing oral contraceptive (3 mg drospirenone/30 microg ethinylestradiol).

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  • Assessment of contraceptive efficacy using the corrected Pearl index.
  • Monitoring of non-contraceptive benefits including acne control, fluid retention, and weight changes.
  • Comparison with a reference oral contraceptive containing desogestrel.
  • Main Results:

    • The DRSP/EE oral contraceptive demonstrated excellent efficacy with a corrected Pearl index of 0.09.
    • Significant improvements were observed in acne control and reduction of fluid-related symptoms due to drospirenone's properties.
    • A notable weight loss was observed with DRSP/EE compared to the desogestrel-containing reference preparation.
    • Cycle control was excellent and comparable to other OCs.

    Conclusions:

    • The drospirenone-containing oral contraceptive (DRSP/EE) offers significant non-contraceptive benefits, including improved acne and reduced fluid retention.
    • Its potent progestogenic activity ensures high contraceptive efficacy and excellent cycle control.
    • DRSP/EE provides a valuable new option for women seeking enhanced satisfaction and additional health benefits from their oral contraceptive.