Clinical and hormonal effects of two contraceptives: Correlation to serum concentrations of levonorgestrel and gestodene
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Clinical and hormonal effects of two contraceptives : Correlation to serum concentrations of levonorgestrel and gestodene. / Refn, H.; Kjær, A.; Lebech, A. M.; Borggaard, B.; Schierup, L.
In: Contraception, Vol. 41, No. 3, 03.1990, p. 259-269.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Clinical and hormonal effects of two contraceptives
T2 - Correlation to serum concentrations of levonorgestrel and gestodene
AU - Refn, H.
AU - Kjær, A.
AU - Lebech, A. M.
AU - Borggaard, B.
AU - Schierup, L.
PY - 1990/3
Y1 - 1990/3
N2 - Two triphasic oral contraceptives containing gestodene (GES) (a new progestogen) and levonorgestrel (LNG) were compared with respect to contraceptive effect, cycle control, acceptability and side effects. The serum concentrations of ingested hormones were measured together with ovarian, pituitary, and some adrenal hormones, as well as sex hormone binding globulin (SHBG). The contraceptive effect and cycle control were good with both preparations, and there were only a few minor side effects. SHBG was elevated 2-fold in the LNG group and 3-fold in the GES group. The GES concentration in serum varied more than the LNG concentration, but with correction for variations in SHBG binding, less variability in actual GES and LNG concentrations was seen. Serum levels of FSH, LH, estradiol and progesterone were all depressed with both preparations. The depression was more marked in the GES group, despite lower progestogen ingestion and similar serum concentrations. Equal decreases were found in testosterone, androstenedione and dehydroepiandrosterone sulfate (DHEA-S) with both preparations.
AB - Two triphasic oral contraceptives containing gestodene (GES) (a new progestogen) and levonorgestrel (LNG) were compared with respect to contraceptive effect, cycle control, acceptability and side effects. The serum concentrations of ingested hormones were measured together with ovarian, pituitary, and some adrenal hormones, as well as sex hormone binding globulin (SHBG). The contraceptive effect and cycle control were good with both preparations, and there were only a few minor side effects. SHBG was elevated 2-fold in the LNG group and 3-fold in the GES group. The GES concentration in serum varied more than the LNG concentration, but with correction for variations in SHBG binding, less variability in actual GES and LNG concentrations was seen. Serum levels of FSH, LH, estradiol and progesterone were all depressed with both preparations. The depression was more marked in the GES group, despite lower progestogen ingestion and similar serum concentrations. Equal decreases were found in testosterone, androstenedione and dehydroepiandrosterone sulfate (DHEA-S) with both preparations.
UR - http://www.scopus.com/inward/record.url?scp=0025230441&partnerID=8YFLogxK
U2 - 10.1016/0010-7824(90)90067-6
DO - 10.1016/0010-7824(90)90067-6
M3 - Journal article
C2 - 2138974
AN - SCOPUS:0025230441
VL - 41
SP - 259
EP - 269
JO - Contraception
JF - Contraception
SN - 0010-7824
IS - 3
ER -
ID: 283517321