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Metabolic and Weight Observations in Four Women Using Triphasic Norgestimate/Ethinylestradiol: A Six-month
Maria Cristina Cesana1, Debora Vicini1, Simona Ruisi1
1Department of Obstetrics and Gynecology, A. Manzoni Hospital, ASST Lecco, Lecco, Italy.
Open Access Journal of Contraception
|August 12, 2026
Summary
This study observed four women using a triphasic combined oral contraceptive (COC) containing norgestimate and ethinylestradiol. Short-term use showed minor metabolic changes, with total cholesterol increasing slightly and triglycerides fluctuating.
Area of Science:
- Endocrinology
- Pharmacology
- Women's Health
Background:
- Triphasic combined oral contraceptives (COCs) with norgestimate and ethinylestradiol are common.
- Limited data exists on their real-world metabolic effects in routine practice.
Purpose of the Study:
- To describe short-term metabolic and clinical changes in women using a specific triphasic COC.
- To observe effects over six months in a routine clinical setting.
Main Methods:
- Retrospective case series of four women without metabolic disorders.
- Data collected at baseline, 3, and 6 months included glucose, lipids, blood pressure, and weight.
- Descriptive statistics (medians, ranges) were used; no inferential analysis.
Main Results:
- Fasting glucose remained within normal limits.
- Median triglycerides fluctuated, increasing at 3 months then decreasing by 6 months.
- Median total cholesterol and LDL/HDL ratios showed modest increases, while body weight changes were minimal.
Conclusions:
- This small case series offers hypothesis-generating insights into short-term COC use.
- Findings require validation in larger prospective studies.
- Results do not confirm efficacy or generalizability.
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