Evidence map›Paper›PMID 33680669›Full record

ArticlePlastic and reconstructive surgery. Global open2021

The Impact of Progestin-only Contraception on Adolescents with Macromastia.

Laura C Nuzzi, Tannishtha Pramanick, Gabrielle G Massey, Landis R Walsh, Catherine T McNamara, Joseph M Firriolo, Amy D DiVasta, Brian I Labow

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 36% 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, 4 citations in OpenAlex.

  1. Article
  2. Gigantomastia following the use of a subdermal contraceptive: a case reportRevista colombiana de obstetricia y ginecologia · 2025
    Article
  3. 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

8 authors at 1 institution in 1 country.

Laura C NuzziAdolescent Breast Center, Boston Children's Hospital and Harvard Medical School, Boston, Mass.
Tannishtha PramanickAdolescent Breast Center, Boston Children's Hospital and Harvard Medical School, Boston, Mass.
Gabrielle G MasseyAdolescent Breast Center, Boston Children's Hospital and Harvard Medical School, Boston, Mass.
Landis R WalshAdolescent Breast Center, Boston Children's Hospital and Harvard Medical School, Boston, Mass.
Catherine T McNamaraAdolescent Breast Center, Boston Children's Hospital and Harvard Medical School, Boston, Mass.
Joseph M FirrioloAdolescent Breast Center, Boston Children's Hospital and Harvard Medical School, Boston, Mass.
Amy D DiVastaAdolescent Breast Center, Boston Children's Hospital and Harvard Medical School, Boston, Mass.
Brian I LabowAdolescent Breast Center, Boston Children's Hospital and Harvard Medical School, Boston, Mass.
Boston Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Progestin-only contraception has become increasingly popular among adolescents. However, patients, parents, and providers share concerns regarding the potential impact that progestin-only contraception may have on breast growth. We sought to explore the impact of progestin-only contraception on breast hypertrophy and symptomatology in adolescents with macromastia.

methodsPatients between the ages of 12 and 21 years undergoing reduction mammaplasty were prospectively assessed for baseline and postoperative breast symptomatology and medication use. The medical records of female controls within the same age range were retrospectively reviewed.

resultsA total of 378 participants with macromastia and 378 controls were included in analyses. A higher proportion of controls used progestin-only methods compared with participants with macromastia (28.0% versus 5.3%,

conclusionsAdolescents with macromastia who use progestin-only contraception may have greater breast hypertrophy and worse breast and musculoskeletal pain. When appropriate, providers may wish to consider other contraception methods for patients who are at-risk for breast hypertrophy or those who suffer from macromastia-related symptoms.

Identifiers

PMID33680669
PMCPMC7929442
OpenAlexW3134224031

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.