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Steroidal contraceptive use update, United States, 1989-1994.
B B Gerstman1, L Burke, J Delaney
1San Jose State University, Department of Health Science, San Jose, CA 95192-0052, USA. buddyb@sjsuvm1.sjsu.edu
Oral contraceptive prescriptions remain high, with stable doses. Parenteral contraceptives like Norplant and Depo-Provera show rapid acceptance and increasing distribution in the United States.
Area of Science:
- Reproductive Health
- Pharmaceutical Sciences
- Public Health
Background:
- Steroidal contraceptives are a cornerstone of reproductive health.
- Understanding current trends in contraceptive use is crucial for public health planning.
- Previous data on contraceptive utilization requires regular updates.
Purpose of the Study:
- To provide updated data on steroidal contraceptive use in the United States.
- To analyze trends in the utilization and distribution of oral contraceptives, Norplant, and Depo-Provera from 1989 to 1994.
Main Methods:
- Analysis of pharmaceutical marketing data.
- Examination of prescription data for oral contraceptives.
- Tracking distribution data for Norplant and Depo-Provera.
Main Results:
- In 1994, 56.8 million oral contraceptive prescriptions were dispensed.
- Oral contraceptive formulations maintained stable estrogen and progestin doses, averaging 34 microg ethinyl estradiol.
- Increased mentions of oral contraceptive use were observed in women aged 35-44.
- From 1991-1994, approximately 169,000 Norplant systems were distributed.
- Over 1.5 million milliliters of Depo-Provera were distributed between 1993 and 1994.
Conclusions:
- Oral contraceptives continue to be a widely used and popular method of contraception.
- Injectable and implantable steroidal contraceptives (parenteral formulations) have demonstrated rapid market acceptance and increasing utilization.
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