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Combined hormonal contraception.
Michele E Calderoni1, Susan M Coupey
1Section of Adolescent Medicine, Children's Hospital at Montefiore/Albert Einstein College of Medicine, 111 East 210th Street, Bronx, NY 10467, USA. mcaldero@montefiore.org
Adolescent Medicine Clinics
|September 27, 2005
Summary
Combined hormonal contraceptives, including oral contraceptive pills (OCPs) and newer methods like patches and rings, offer effective options with significant noncontraceptive benefits for women. This review compares their pharmacology, efficacy, and safety, focusing on adolescent use.
Area of Science:
- Reproductive Health
- Pharmacology
- Contraception
Background:
- Combined hormonal contraceptives (CHCs) are widely used for birth control.
- They deliver estrogen and progestin simultaneously.
- CHCs offer significant noncontraceptive benefits, particularly for young women.
Purpose of the Study:
- To discuss various combined hormonal contraception methods.
- To compare newer CHC delivery systems with oral contraceptive pills (OCPs).
- To emphasize advantages, disadvantages, and adolescent acceptability.
Main Methods:
- Review of combined hormonal contraceptive methods.
- Comparison of transdermal patch, vaginal ring, and injectable forms with OCPs.
- Analysis of pharmacology, efficacy, and adverse events.
Main Results:
- Oral contraceptive pills (OCPs) are the standard CHC method.
- Newer delivery systems (patch, ring, injectable) offer alternatives to OCPs.
- All methods are evaluated for efficacy, safety, and side effects.
Conclusions:
- Combined hormonal contraceptives are highly effective birth control options.
- Noncontraceptive benefits are a key advantage, especially for adolescents.
- Understanding method-specific profiles is crucial for informed choice and acceptability.