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Oral Contraceptives

History, Pharmacology, Metabolic Effects, Side Effects, and Health Benefits

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The Handbook of Contraception

Part of the book series: Current Clinical Practice ((CCP))

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Abstract

Because of social, political, financial, or legal reasons, many contraceptive methods have been removed from the contraceptive armamentarium, sometimes almost as quickly as they were introduced. The original subdermal implant, a monthly intramuscular injection containing medroxyprogesterone acetate and estradiol cypionate, and a multitude of intrauterine devices have all been withdrawn from the US market after facing insurmountable problems. Over the last 45 years, however, oral contraceptives (OCs) have undergone extensive study, continual development and significant improvements. Unlike the original OCs, new low-dose OCs, as shown in Fig. 1, have few health risks when used in properly selected users and many health benefits. Currently, more than 100 million women worldwide and 18 million women in the United States rely on OCs (1).

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References

  1. Blackburn RD, Cunkelman A, Zlidar VM. (2000) Oral contraceptives—an update. Popul Rep A 28:1–16, 25-32.

    PubMed  CAS  Google Scholar 

  2. Woltersz TB.(1991) Benefits of oral contraception: thirty year’s experience. In J Fertil 36:26–31.

    Google Scholar 

  3. Bordy SA, Turkes A, Goldzieher JW. (1989) Pharmacokinetics of three bioequivalent norethindrone/mestranol-50 micrograms and three norethindrone/ethinyl estradiol-35 micrograms OC formulations: are “low-dose” pills really lower? Contraception 40:269–284.

    Article  Google Scholar 

  4. Mishell DR. (2005) Rationale for decreasing the number of days of the hormone-free interval with use of low-dose oral contraceptive formulations. Contraception 71:304–305.

    Article  PubMed  Google Scholar 

  5. Mishell DR Jr, Kletzky OA, Brenner PF, et al. (1977) The effect of contraceptive steroids on hypothalamic-pituitary function. Am J Obstet Gynecol 128:60–74.

    PubMed  CAS  Google Scholar 

  6. Tayob Y, Robinson G, Adams J, et al. (1990) Ultrasound appearance of the ovaries during the pill-free interval. Br J Family Planning 16:94–96.

    Google Scholar 

  7. Audet MC, Moreau M, Koltun WD, et al. (2001) ORTHO EVRA/EVRA 004 Study Group. Evaluation of contraceptive efficacy and cycle control of a transdermal contraceptive patch vs and oral contraceptive: a randomized controlled trial JAMA 285:2347–2354.

    Article  PubMed  CAS  Google Scholar 

  8. Holt VL, Cushinig-Haugen KL, Daling JR. (2002) Body weight and risk of oral contraceptive failure risk. Obstet Gynecol 99:820–827.

    Article  PubMed  Google Scholar 

  9. Zacur HA, Hedon B, Mansour D, et al. (2002) Integrated summary of Ortho Evra contraceptive patch adhesion in varied climates and conditions. Fertil Steril 77:S32–S35.

    Article  PubMed  Google Scholar 

  10. Potter LS. (1991) Oral contraceptives compliance and its role in the effectiveness of the method. In: Cramer JA, Spilker B, eds. Patient Compliance in Medical Practice and Clinical Trials. New York: Raven Press, pp. 195–207.

    Google Scholar 

  11. Tanis BC, van den Bosch MA, Kemmeren JM, et al. (2001) Oral contraceptives and the risk of myocardial infarction. N Engl J Med 345:1787–1793.

    Article  PubMed  CAS  Google Scholar 

  12. Khader YS, Rice J, John L, Abueita O. (2003) Oral contraceptives use and the risk of myocardial infarction: a meta-analysis. Contraception 68:11–17.

    Article  PubMed  CAS  Google Scholar 

  13. Collaborative Group on Hormonal Factors in Breast Cancer. (1996) Breast cancer and hormonal contraceptives: Collaborative reanalysis of individual data on 53,297 women with breast cancer and 100,239 women without breast cancer from 54 epidemiological studies. Lancet 347:1713–1727.

    Article  Google Scholar 

  14. Goldzieher JW, Dozier TS, de la Pena A. (1980) Plasma levels and pharmacokinetics of ethinyl estrogens in various populations. Contraception 21:17–27.

    Article  PubMed  CAS  Google Scholar 

  15. Vessey M, Painter R. (1994) Oral contraceptive use and benign gallbladder disease revisited. Contraception 50:167–173.

    Article  PubMed  CAS  Google Scholar 

  16. La Vecchia C, Negri E, D’avanzo B, Parazzini F, Gentile A, Franceschi S. (1992) Oral contraceptives and noncontraceptive oestrogens in the risk of gallstone disease requiring surgery. J Epidemiol Community Health 46:234–236.

    Article  PubMed  Google Scholar 

  17. Strom BL, Tamragouri RN, Morse ML, et al. (1986) Oral contraceptives and other risk factors for gallbladder disease. Clin Pharmacol Ther 39:335–341.

    Article  PubMed  CAS  Google Scholar 

  18. Rosenberg MJ, Meyers A, Roy V. (1999) Efficacy, cycle control, and side effects of low and lower dose oral contraceptives: a randomized trial of 20 micrograms and 35 micrograms estrogen preparations. Contraception 60:321, 329.

    Article  PubMed  CAS  Google Scholar 

  19. Kay CR.(1984) The Royal College of General Practitioners’ Oral Contraception study: some recent observations. Clin Obstet Gynaecol 11:759–786.

    Google Scholar 

  20. Holst J, Backstrom T, Hammarback S, von Schoultz B. (1989) Progestogen addition during oestrogen replacement therapy-effects on vasomotor symptoms and mood. Maturitas 121:13–20.

    Article  Google Scholar 

  21. Troisi RJ, Cowie CC, Harris MI. (2000) Oral Contraceptive use and glucose metabolism in a national sample of women in the United States. Am J Obstet Gynecol 183:389–395.

    Article  PubMed  CAS  Google Scholar 

  22. Kim C, Siscovick DS, Sidney S, et al. (2002) Oral contraceptive use and association with glucose, insulin, and diabetes in young adult women: the CARDIA Study. Coronary Artery Risk Development in Young Adults. Diabetes Care 25:1027–1032.

    Article  PubMed  CAS  Google Scholar 

  23. Kjoss SL, Peters RK, Xiang A, Thomas D, Schaefer U, Buchanan TA. (1998) Contraception and the risk of type 2 diabetes mellitus in Latina women with prior gestational diabetes mellitus. JAMA 280:533–538.

    Article  Google Scholar 

  24. Van der Vange N, Blankenstein MA, Kloosterhoer JH, et al. (1990) Effects of seven lowdose combined oral contraceptives on sex hormone binding globulin, corticosteroid binding globulin, total and free testosterone. Contraception 41:345–352.

    Article  PubMed  Google Scholar 

  25. Kung AW, Ma JT, Wong VC, et al. (1987) Glucose and lipid metabolism with triphasic oral contraceptives in women with history of gestational diabetes. Contraception 325:257–269.

    Article  Google Scholar 

  26. Hannaford PC, Kay CR. (1989) Oral contraceptives and diabetes mellitus. Br Med J 299:1315–1316.

    CAS  Google Scholar 

  27. Rimm EB, Manson JE, Stampfer MJ, et al. (1992) Oral contraceptive use and the risk of type 2 (non-insulin-dependent) diabetes in a large prospective study of women. Diabetologia 35:967–962.

    Article  PubMed  CAS  Google Scholar 

  28. Meade TW. (1982) Oral contraceptives, clotting factors, and thrombosis. Am J Obstet Gynecol 142:758–761.

    PubMed  CAS  Google Scholar 

  29. Gerstman BB, Piper JM, Tomita DK, et al. (1991) Oral contraceptives estrogen dose and the risk of deep venous thromoembolic disease. Am J Epidemioil 133:32–37.

    CAS  Google Scholar 

  30. Chasen-Taber L, Willett WC, Manson GE, et al. (1996) Prospective study of oral contraceptives and hypertension among women in the United States. Circulation 94:483–489.

    Google Scholar 

  31. Van der Vange N, Blankenstein MA, Kloosterboer JH, et al. (1990) Effects of seven lowdose combined oral contraceptives on sex hormone binding globusin, corticosteroid binding globulin, total and free testosterone. Contraception 41:345.

    Article  PubMed  Google Scholar 

  32. Odlind V, Milsom I, Persson I, Victor A. (2002) Can changes in sex hormone binding globuoin predict the risk of venous Thromboembolism with combined oral contraceptive pills. Acta Obstet Gynecol Scand 81:482–490.

    Article  PubMed  Google Scholar 

  33. van Vliet HAAM, Frolich M, Christella M, et al. (2005) Association between sex hormonebinding globulin levels and activated protein C resistance in explaining the risk of thrombosis in users of oral contraceptives containing different progestogens. Human Reproduction 20:563–568.

    Article  PubMed  CAS  Google Scholar 

  34. van Rooijen M, Silveira A, Hamsten A, Bremme K. (2004) Sex hormone-binding globulin-A surrogate marker for the prothrombotic effects of combined oral contracetptives. Am J Obstet Gynecol 190:332–327.

    Article  PubMed  CAS  Google Scholar 

  35. Speroff L, DeCherney A, the Advisory Board for the New Progestins. (1993) Evaluation of a new generation of oral contraceptives. Obstet Gynecol 81:1034.

    Google Scholar 

  36. Notelovitz M, Feldman EB, Gillespy M, et al. (1989) Lipid and lipoprotein changes in women taking low-dose, triphasic oral contraceptives: a controlled, comparative, 12-month clinical trial. Am J Obstet Gynecol 160:1269.

    PubMed  CAS  Google Scholar 

  37. Rosing J, Middeldorp S, Curvers J, et al. (1999) Low-dose oral contraceptives and acquired resistance to activated protein C: a randomized cross-over study. Lancet 354:2036–2040.

    Article  PubMed  CAS  Google Scholar 

  38. Rosing J, Tans G. (1999) Effects of oral contraceptives on hemostasis and thrombosis. Am J Obstet Gynecol 180:S375–S382.

    Article  PubMed  CAS  Google Scholar 

  39. Vanderbroucke JP, Koster T, Briet E, et al. (1994) Increased risk of venous thrombosis in oral-contraceptive users who are carriers of factor V Leiden mutation. Lancet 344:1453.

    Article  Google Scholar 

  40. Bloemenkamp KWM, Rosendaal FR, Helmerhorst FM, Vandenbroucke JP. (2000) Higher risk of venous thrombosis during early use of oral contraceptives in women with inherited clotting defects. Arch Intern Med 169:49–52.

    Article  Google Scholar 

  41. Stampfer MJ, Willett WC, Colditz GA, Speizer FE, Hennekens CH. (1990) Past use of oral contraceptives and cardiovascular disease: a meta-analysis in the context of the Nurses’ Health Study. Am J Obstet Gynecol 163:285–291.

    PubMed  CAS  Google Scholar 

  42. Schwingl PJ, Shelton J. (1997) Modeled estimates of myocardial infarction and venous thromboembolic disease in users of second and third generation oral contraceptives. Contraception 55:125–129.

    Article  PubMed  CAS  Google Scholar 

  43. Lidegaard O, Edstrom B, Kreiner S. (2002) Oral contraceptives and venous thromboembolism: A five-year national case-control study. Contraception 65:187–196.

    Article  PubMed  CAS  Google Scholar 

  44. Jick H, Jick SS, Gurewich V, Myers MW, Vasilakis C. (1995) Risk of idiopathic cardiovascular death and nonfatal venous thrmoboembolism in women using oral contraceptives with differing progestogen components. Lancet 346:1589–1593.

    Article  PubMed  CAS  Google Scholar 

  45. World Health Organization Collaborative Study of Cardiovascular Disease and Steroid Hormone Contraception. (1995) Venous thromboembolic disease and combined oral contraceptives. Lancet 346:1575–1582.

    Article  Google Scholar 

  46. Spitzer WO, Lewis MA, Heinemann LAJ, et al. (1996) Third-generation oral contraceptives and risk of venous thromboembolic disorders: An international case-control study. Br Med J 312:83–88.

    CAS  Google Scholar 

  47. Lewis MA, Heinemann LA, MacRae KD, Bruppacher R, Spitzer WO. (1996) The increased risk of venous thromboembolism and the use of third generation progestagens: role of bias in observational research. The Transnational Research Group on Oral Contraceptives and the Health of Young Women. Contraception. 1996 54:5–13.

    Article  PubMed  CAS  Google Scholar 

  48. Shelton T. (2002) Dutch GPs warned against new contraceptive pill. BMJ 324:869.

    Article  Google Scholar 

  49. Lewis AL, Spitzer WO, Heinemann LAJ, MacRae KD, Bruppacher R, Thorogood M on behalf of Transnational Research Group on Oral Contraceptives and the Health of Young Women. (1996) Third generation oral contraceptives and risk of myocardial infarction: an international case-control study. BMJ 312:88–90.

    PubMed  CAS  Google Scholar 

  50. Rosing J, Middeldorp S, Curvers J, et al. (1999) Low-dose oral contraceptives and acquired resistance to activated protein C: a randomized cross-over study. Lancet 354:2036–2040.

    Article  PubMed  CAS  Google Scholar 

  51. Kemmeren JM, Algra A, Meijers JC, et al. (2004) Effect of second-and third-generation oral contraceptives on the protein C system in the absence or presence of the factor V Leiden mutation: a randomized trial. Blood 103:927–933.

    Article  PubMed  CAS  Google Scholar 

  52. World Health Organization. (1998) Cardiovascular disease and steroid hormone contraception, report of a WHO scientific group. WHO Technical Report Series no. 877, Geneva, Switzerland.

    Google Scholar 

  53. Tanis BC, van den Bosch MA, Kemmeren JM, et al. (2001) Oral contraceptives and the risk of myocardial infarction. N Engl J Med 345:1787–1793.

    Article  PubMed  CAS  Google Scholar 

  54. Pettiti DB. (2003) Combination estrogen-progestin oral contraceptives. N Engl J Med 349:1443–1450.

    Article  Google Scholar 

  55. Stampfer MJ, Willett WC, Colditz GA, Speizer FE, Hennekens CH. (1988) A prospective study of past use of oral contraceptive agents and risk of cardiovascular diseases. N Engl J Med 319:1313–1317.

    Article  PubMed  CAS  Google Scholar 

  56. Adams MR, Clarkson TB, Korinik DR, et al. (1987) Contraceptive steroids and coronary artery atherosclerosis in cynomolgus macaques. Dertil Steril 47:1010.

    CAS  Google Scholar 

  57. Mann JL, Doll R, Thorogood M, et al. (1986) Riskractors for myocardial infarction in young women. Br J Prev Soc Med 30:94.

    Google Scholar 

  58. Croft P, Hannaford PC. (1989) Risk factors for acute myocardial infarction in women. Br Med J 298:165–168.

    CAS  Google Scholar 

  59. Rosenberg L, Palmer JR, Rao RS, et al. (2001) Low-dose oral contraceptives use and the risk of myocardial infarction. Arch Intern Med 161:1065–1070.

    Article  PubMed  CAS  Google Scholar 

  60. Khader YS, Rice J, John L, Abueita O. (2003) Oral contraceptives use and the risk of myocardial infarction: a meta-analysis. Contraception 68:11–17.

    Article  PubMed  CAS  Google Scholar 

  61. Baillargeon J-P, McClish DK, Essah PA, Nestler JE. (2005) Association between the current use of low-dose oral contraceptives and cardiovascular arterial disease: a meta-analysis. J Clin Endocrinol Metab 90:3863–3870.

    Article  PubMed  CAS  Google Scholar 

  62. Pettiti DB, Sidney S, Bernstein A, et al. (1996) Stroke in users of low-dose oral contraceptives. N Engl J Med 335:8–15.

    Article  Google Scholar 

  63. Lidegaard O, Kreiner S. (2002) Contraceptives and cerebral thrombosis: a five-year national case-control study. Contraception. 65:197–205.

    Article  PubMed  CAS  Google Scholar 

  64. Siritho S, Thrift AG, McNeil JJ, You RX, Davis SM, Donnan GA. (2003) Melbourne Risk Factor Study (MERFS) Group. Risk of ischemic stroke among users of the oral contraceptive pill: The Melbourne Risk Factor Study (MERFS) Group. Stroke 34:1575–1580.

    Article  PubMed  Google Scholar 

  65. Chang CL, Donaghy M, Poulter N. (1999) Migraine and stroke in young women: casecontrol study. The World Health Organization Collaborative Study of Cardiovascular Disease and Steroid Hormone Contraception. BMJ 318:13–18

    PubMed  CAS  Google Scholar 

  66. Kemmeren JM, Tanis BC, van den Bosch MA, et al. (2002) Risk of Aterial Thrombosis in Relation to Oral Contraceptives (RATIO) study: oral contraceptives and the risk of ischemic stroke. Stroke 33:1202–1208.

    Article  Google Scholar 

  67. Vessey MP, Wright NH, McPherson K, et al. (1978) Fertility after stopping different methods of contraception. BrMed J 1:265–267.

    CAS  Google Scholar 

  68. Rothman KJ, Louik C. (1978) Oral contraceptives and birth defects. N Engl J Med 299:522–524.

    Article  PubMed  CAS  Google Scholar 

  69. Jacobsen C. (1974) Cytogenic Study of Immediate Post Contraceptive Abortion. Washington, DC: US Government Printing Office.

    Google Scholar 

  70. Harlap S, Shiono PH, Ramcharan S. (1985) Congenital abnormalities in the offspring of women who used oral and other contraceptives around the time of conception. In J Fertil 30:39.

    CAS  Google Scholar 

  71. Marchbanks PA, McDonald JA, Wilson HG, et al. (2002) Oral contraceptives and the risk of breast cancer. N Engl J Med 342:2025–2032.

    Article  Google Scholar 

  72. Collaborative Group on Hormonal Factors in Breast Cancer. (1996) Breast cancer and hormonal contraceptives: further results. Contraception 54:1S–106S.

    Google Scholar 

  73. Moreno V, Bosch FX, Munbor N, et al. (2002) Effect of oral contraceptives onrisk of cervical cancer in women with human papillomavirus infection: the IARC multicentric casecontrol study. Lancet 359:10–85.

    Article  Google Scholar 

  74. Smith JS, Green J, Berrington de Gonzalez A, et al. (2003) Cervical cancer and use of hormonal contraceptives: a systematic review. Lancet 361:1159–1167.

    Article  PubMed  Google Scholar 

  75. The Cancer and Hormone Study of the Centers for Disease Control and the National Institute of Child Health and Human Development. (1987) Combination oral contraceptives use and risk of endometrial cancer. JAMA 257:796–800.

    Article  Google Scholar 

  76. Voigt LF, Deng Q, Weiss NS. (1994) Recency, duration, and progestin content of oral contraceptives in relation to the incidence of endometrial cancer. Cancer Causes Control 3:227–233.

    Article  Google Scholar 

  77. Hankinson SE, Colditz GA, Hunter DJ, Spencer TL, Rosner B, Stampfer MJ. (1992) A quantitative assessment of oral contraceptive use and risk of ovarian cancer. Obstet Gynecol 80:708–714.

    PubMed  CAS  Google Scholar 

  78. World Health Organization. Collaborative Study of Neoplasia and Steroid Contraceptives. (1989) Combined oral contraceptives and liver cancer. Int J Cancer 43:254–259.

    Article  Google Scholar 

  79. Fernandez E, La Vecchia C, Balducci A, et al. (2001) Oral contraceptives and colorectal cancer risk: a meta-analysis. Br J of Cancer 84:722–727.

    Article  CAS  Google Scholar 

  80. Pituitary Adenoma Study Group. (1983) Pituitary adenomas and oral contraceptives: a multicenter case-control study. Fertil Steril 39:753–760.

    Google Scholar 

  81. Hannaford PC, Villard-Macintosh L, Vessey MP, Kay CR. (1991) Oral contraceptives and malignant melanoma. Br J Cancer 63:430–433.

    PubMed  CAS  Google Scholar 

  82. Back DJ, Breckenridge AM, Crawford FE, et al. (1980) The effects of rifampicin on the pharmacokinetics of ethinylestradiol in women. Contraception 21:135–143.

    Article  PubMed  CAS  Google Scholar 

  83. Mattson RH, Rebar RW. (1993) Contraceptive methods for women with neurologic disorders. Am J Obstet Gynecol 168:2027–2032.

    PubMed  CAS  Google Scholar 

  84. Chang J, Elam-Evans LD, Berg CJ, et al. (2003) Pregnancy related mortality surveillance— United States, 1991-1999. MMWR Surveill Summ 52:1–8.

    PubMed  Google Scholar 

  85. Marchbanks PA, Annegers JF, Coulam CB, Strathy JH, Kurland LT. (1988) Risk factors for ectopic pregnancy. A population-based study. JAMA 259:1823–1827.

    Article  PubMed  CAS  Google Scholar 

  86. Mishell DR Jr. (1982) Noncontraceptive health benefits of oral steroidal contraceptives. Am J Obstet Gynecol 142:809–816.

    Google Scholar 

  87. Runnebaum B, Grunwald K, Rabe T. (1992) The efficacy and tolerability or norgestimate/ ethinyl estradiol; results of an open, multicenter study of 59,701 women. Am J Obstet Gynecol 166:1963–1968.

    PubMed  CAS  Google Scholar 

  88. Fraser IS, McCarron G. (1991) Randomized trial of 2 hormonal and 2 prostaglandin inhibiting agents in women with a complaint of menorrhagia. Aust N Z J Obstet Gynaecol 31:66–70.

    PubMed  CAS  Google Scholar 

  89. Iyer V, Farquhar C, Jepson R. (2000) Oral contraceptive pills for heavy menstrual bleeding. Cochrane Database Syst Rev (2):CD000154.

    Google Scholar 

  90. Larsson G, Milsom I, Linstedt G, Rybo G. (1992) The influence of a low-dose combined oral contraceptive on menstrual blood loss and iron status. Contraception 46:327–334.

    Article  PubMed  CAS  Google Scholar 

  91. Task Force for Epidemiological Research on Reproductive Health, United Nations Development Programme/United Nations Population Fund/World Health Organization/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, World Health Organization. (1998) Effects of contraceptives on hemoglobin and ferritin. Contraception 58:262–273.

    Google Scholar 

  92. Royal College of General Practitioners. (1974) Oral Contraceptives and Health: An Interim Report from the Oral Contraceptive Study of the Royal College of General Practitioners. New York: Pitman Medical Publishing.

    Google Scholar 

  93. Davis A, Godwin A, Lippman J, Olson W, Kafrissen M. (2000) Triphasic norgestimate ethinyl estradiol for treating dysfunctional uterine bleeding. Obstet Gynecol 96:913–920.

    Article  PubMed  CAS  Google Scholar 

  94. The Cancer and Steroid Hormone Study of the Centers for Disease Control and the National Institute of Child Health and Human Development. (1987) Combination oral contraceptive use and the risk of endometrial cancer. JAMA 257:796–800.

    Article  Google Scholar 

  95. Vessey MP, Painter R. (1995) Endometrial and ovarian cancer and oral contraceptives— findings in a large cohort study. Br J Cancer 71:1340–1342.

    PubMed  CAS  Google Scholar 

  96. Schlesselman JJ. (1997) Risk of endometrial cancer in relation to use of combined oral contraceptives. A practioner’s guide to meta-analysis. Hum Reprod 12:1851–1863.

    Article  PubMed  CAS  Google Scholar 

  97. Vessey MP, Painter R. (1995) Endometrial and ovarian cancer and oral contraceptives— findings in a large cohort study. Br J Cancer 71:1340–1342.

    PubMed  CAS  Google Scholar 

  98. Rosenberg L, Palmer JR, Zauber AG, Warshauer ME, et al. (1994) A case-control study of oral contracetpvie use and invasive epithelial ovarian cancer. Am J Epidemiol 139:654–661.

    PubMed  CAS  Google Scholar 

  99. Ness RB, Grisso JA, Klapper J, et al. (2000) risk of ovarian cancer in relation to estrogen and progestin dose and use characteristics of oral contraceptives. SHARE Study Group. Steroid Hormones and reproductions. Am J Epidemiol 152:233–241.

    Article  PubMed  CAS  Google Scholar 

  100. Narod SA, Risch H, Moslehi R, et al. (1998) Oral contraceptives and the risk of hereditary ovarian cancer. Hereditary Ovarian Cancer Clinical Study Group. N Eng J Med 339:424–428.

    Article  CAS  Google Scholar 

  101. Modan B, Hartge P, Hirsh-Yechezkel G, et al. (2001) Parity, oral contraceptives, and the risk of ovarian cancer among carriers and noncarriers of a BRCA1 or BRCA2 mutation. N Engl J Med 345:235–240.

    Article  PubMed  CAS  Google Scholar 

  102. Jensen JT, Speroff L. (2000) Health benefits of oral contraceptives. Obstet Ghynecol Clin North Am 27:705–721.

    Article  CAS  Google Scholar 

  103. Gross TP, Schlesselman JJ. (2002) The estimated effect of oral contraceptives on ovarian cancer risk. J Natl Cancer Inst 94:32–38.

    Google Scholar 

  104. Walker GR, Schlesselman JJ, Ness RB. (2002) Family history of cancer, oral contraceptive use, and ovarian cancer risk. Am J Obstet Gynecol 186:8–14.

    Article  PubMed  Google Scholar 

  105. Narod SA, Dube MP, Klijn J, et al. (2002) Oral contraceptives and the risk of breast cancer in BRCA1 and BRCA2 mutation carriers. J Nat Cancer Inst 94:1773–1779.

    PubMed  CAS  Google Scholar 

  106. Schildkraut JM, Calingaert B, Marchbanks PA, Moorman PG, Rodriguez GC. (2002) Impact of progestin and estrogen potency in oral contraceptives on ovarian cancer risk. J Natl Cancer Inst 94:32–38.

    PubMed  CAS  Google Scholar 

  107. Ory H, Cole IP, MacMahon B, et al. (1976) Oral contraceptives and reduced incidence of benign breast disease. N Engl J Med 294:419–422.

    Article  PubMed  CAS  Google Scholar 

  108. Brinton LA, Vessey MP, Flavel R, Yeates D. (1981) Risk factors for benign breast disease. Am J Epidemiol 113:203–214.

    PubMed  CAS  Google Scholar 

  109. Milsom I, Sundell G, Andersch B. (1990) The influence of different combined oral contraceptives on the prevalence and severity of dysmenorrheal. Contraception 42:497–506.

    Article  PubMed  CAS  Google Scholar 

  110. Sangi-Haghpeykar H, Poindexter AN 3rd. (1995) Epidemiology of endometriosis among parous women. Obstet Gynecol 85:983–992.

    Article  PubMed  CAS  Google Scholar 

  111. Royal College of General Practitioners. (1974) Oral Contraceptives and Health: An Interim Report from the Oral Contraceptive Study of the Royal College of General Practitioners. New York: Pitman Medical Publishing.

    Google Scholar 

  112. Shargil AA. (1985) Hormone replacement therapy in perimenopausal women with a triphasic contracetpvie compound: a three year prospective study. In J Fertil 30:15; 18–28.

    Google Scholar 

  113. Borenstein J, Yu HT, Wade S, Chiou CF, Rapkin A. (2003) Effect of an oral contraceptive containing ethinyl estradiol and drospirenone on premenstrual symptomatology and healthrelated quality of life. J reprod Med 48:79–85.

    PubMed  CAS  Google Scholar 

  114. Parsey KS, Pong A. (2000) An open-label, multicenter study to evaluate Yasmin, a lowdose combination oral contraceptive containing drospirenone, a new progestogen. Contraception 61:105–111.

    Article  PubMed  CAS  Google Scholar 

  115. Lanes AF, Birmann B, Walter AM, Singer S. (1992) Oral contraceptive type and functional ovarian cysts. Am J Obstet Gynecol 166:956–961.

    PubMed  CAS  Google Scholar 

  116. Chiaffarino F, Parazzini F, La Vecchia C, Ricci, Crosignani PG. (1998) Oral contraceptive use and benign gynecologic conditions. A review. Contraception 57:11–18.

    Article  CAS  Google Scholar 

  117. Redmond GP, Olson WH, Lippman JS, et al. (1997) Norgestimate and ethinyl estradiol in the treamentofacnevulgaris:arandomized, placebo-controlled trial. Obstet Gynecol 89:615–622.

    Article  PubMed  CAS  Google Scholar 

  118. Jemec GB, Linneberg A, Nielsen NH, et al. (2002) Have oral contraceptives reduced the prevalence of acne? A population-based study of acne vulgaris, tobacco smoking and oral contraceptives. Dermatology 204:179–184.

    Article  PubMed  Google Scholar 

  119. Dewis P, Petsos P, Newman M, Anderson DC. (1958) The treatment of hirsutism with a combination of desogestrel and ethinyl oestradiol. Clin Endocrinol (Oxf) 22:29–36.

    Google Scholar 

  120. Lobo RA. (1988) The androgenicity of progestational agents. Int J Fertil 33:6–12.

    PubMed  Google Scholar 

  121. Lucky AW, Henderson TA, Olson WH, et al. (1997) Effectiveness of norgestimate and ethinyl estradiol in treating moderate acne vulgaris. J Am Acad Dermatol 37:746–754.

    Article  PubMed  CAS  Google Scholar 

  122. Panser LA, Phipps WR. (1991) Type of oral contraceptive in relation to acute, initial episodes of pelvic inflammatory disease. Contraception 43:91–99.

    Article  PubMed  CAS  Google Scholar 

  123. Washington AE, Gove S, Schachter J, Sweet Rl. (1985) Oral contraceptives, Chlamydia trachomatis infection, and pelvic inflammatory disease. A word of caution about protection. JAMA 253:2246–2250.

    Article  PubMed  CAS  Google Scholar 

  124. Sangi-Haghpeykar H, Poindexter AN 3rd. (1995) Epidemiology of endomjetriosis among parous women. Obstet Gynecol 85:983–992.

    Article  PubMed  CAS  Google Scholar 

  125. Parrazzini F, Ferraroni M, Bocciolone L, Tozzi L, Rubessa S, La Vecchia C. (1994) Contraceptive methods and risk of pelvic endometriosis. Contraception 49:47–55.

    Article  Google Scholar 

  126. Shargil AA. (1985) Hormone replacement therapy in perimenopausal women with a triphasic contraceptive compound: a three-year prospective study. Int J Fertil 30:15, 18-20.

    PubMed  CAS  Google Scholar 

  127. Casper RF, Dodin S, Reid RL, Study Investigators. (1997) The effect of 20 μg of ethinyl estradiol/1 mg norethindrone acetate (Minestrin™), a low-dose oral contraceptive on vaginal bleeding patterns, hot flashes, and quality of life in symptomatic perimenopausal women. Menopause 4:139–147.

    Google Scholar 

  128. Seeman E, Szmukler Gi, Formica C, Tsalamandris C, Mestrovicd R. (1992) Osteroporosis in anorexia nervosa; the influence of peak bone densithy, bone loss, oral contraceptive use and exercise. J Bone Miner Res 7:1467–1474.

    Article  PubMed  CAS  Google Scholar 

  129. Pasco JA, Kotowica MA, Henry MJ, Panahi S, Seeman E, Nicholson GC. (2000) Oral contraceptives and bone mineral density: A population-based study. Am J Obstet Gynecol 182:265–269.

    Article  PubMed  CAS  Google Scholar 

  130. Kuohung W, Borgatta L, Stubblefield P. (2000) Low-dose oral contraceptives and bone mineral density: an evidence-based analysis. Contraception 61:77–82.

    Article  PubMed  CAS  Google Scholar 

  131. Chiaffarino F, Parazzini F, La Vecchia C, Marsico S, Surace M, Ricci E. (1999) Use of oral contraceptives and uteirne fibroids: results from a case-control study. Br J Obstet Gynaecol 106:857–860.

    PubMed  CAS  Google Scholar 

  132. Fernandez E, La Vecchia C, Balducci A, Chatenoud L, Franceschi S, Negri E. (2001) Oral contraceptives and colorectal cancer risk: a meta-analysis. Br J Cancer 84:722–727.

    Article  PubMed  CAS  Google Scholar 

  133. Spector TD, Hochberg MC. (1990) The protective effect of the oral contraceptive pill on rheumatoid arthritis; an overview of the analytic epidemiological studies using meta-analysis. J Clin Epidemiol 43:1221–1230.

    Article  PubMed  CAS  Google Scholar 

  134. Pladevali-Vila M, Delclos Gl, Varas C, Guyer H, Brugues-Tarradellas J, Anglada-Arisa A. (1996) Controversy of oral contraceptives and risk of rheumatoid arthritis; meta-analysis of conflicting studies and review of conflicting meta-analyses with special emphasis on analysis of heterogeneity. Am J Epidemiol 144:1–14.

    Article  Google Scholar 

  135. Henzl M. (1993) Evolution of steroids and their contraceptive and therapeutic use. In: Shoupe DS, Haseltine FP, eds. Contraception. New York: Springer-Verlag, pp. 1–16.

    Google Scholar 

  136. Mishell DR. (2004) Contraception. In: Strauss J, Barbieri R, eds. Yen and Jaffe’s Reproductive Endocrinology, 5th Edition. New York: Elsevier, pp. 904.

    Google Scholar 

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© 2006 Humana Press Inc., Totowa, NJ

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Shoupe, D., Mishell, D.R. (2006). Oral Contraceptives. In: Shoupe, D., Kjos, S.L. (eds) The Handbook of Contraception. Current Clinical Practice. Humana Press. https://doi.org/10.1007/978-1-59745-150-5_2

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