Evidence map›Paper›PMID 25285572›Full record

Trial reportThe European journal of contraception & reproductive health care : the official journal of the European Society of Contraception2015

The effect of protease inhibitors on the cervical mucus of HIV-positive women taking norethindrone contraception.

Jessica Atrio, Alice Stek, Hita Vora, Lorraine Sanchez-Keeland, Ferdous Zannat, Melissa Natavio

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Comparing cervical mucus changes in response to an oral progestin or oestrogen withdrawal in ovarian-suppressed women: a clinical pilot.The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Jessica Atrio* Department of Obstetrics and Gynecology , Los Angeles, California , USA.
Alice Stek
Hita Vora
Lorraine Sanchez-Keeland
Ferdous Zannat
Melissa Natavio
University of California, Los Angeles · USAlbert Einstein College of Medicine · USSouthern California Clinical and Translational Science Institute · USUniversity of Southern California · US

Funding

Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
Scholars in Women's Health Research Across the LifespanK12HD043488 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI MYATT, LESLIE · 2002 to 2023
$10.4M
NCATS NIH HHS UL1 TR000130NCATS NIH HHS UL1TR000130NICHD NIH HHS K12 HD043488
6 · The paper itself

Abstract

objectiveTo compare cervical mucus score (CMS) with and without protease inhibitors (PI) before and after taking norethindrone (NET). STUDY

designThis two-arm, researcher blinded, non-randomised, prospective study was conducted to evaluate cervical mucus quality in HIV-positive women taking progestin only pills. The study group was taking a PI, and compared to women taking ARV regimens that have demonstrated no significant interaction with NET in prior pharmacokinetic trials with combined oral contraceptives. The women had a cervical mucus score prior to NET administration. Mucus Scoring was repeated after 21 days of steady state exposure to oral NET 0.35 milligrams. Cervical mucus quality was quantified according to the World Health Organisation criteria, which include: volume, consistency, cellularity, spinnbarkeit, and ferning.

resultsSixteen women took PI and 17 were controls. Baseline CMS were similar (p ≥ 0.1). After 21 days CMS were similar among the two groups (p = 1).

conclusionsHIV-positive women taking PI demonstrated thickened cervical mucus with oral norethindrone 0.35 mg and are similar to HIV-positive women taking no PI therapy. This may suggest no difference in contraceptive efficacy of progestin only pills in HIV-positive women taking PI.

Indexed as

AdolescentAdultCervix MucusContraceptives, Oral, SyntheticFemaleHIV Protease InhibitorsHIV SeropositivityHumansNorethindroneProspective StudiesYoung AdultContraceptives, Oral, SyntheticHIV Protease InhibitorsNorethindroneAIDSantiretroviral medicationcontraceptive efficacydrug interactionhormonal contraceptionprogestin only pills

Identifiers

PMID25285572
PMCPMC4655593
OpenAlexW1966251396

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.