Evidence map›Paper›PMID 34565826›Full record

ArticleGeburtshilfe und Frauenheilkunde2021

Oral Progestins in Hormonal Contraception: Importance and Future Perspectives of a New Progestin Only-Pill Containing 4 mg Drospirenone.

Thomas Römer, Johannes Bitzer, Christian Egarter, Peyman Hadji, Marion Kiechle, Heike Kramer, Patricia G Oppelt, Klaus Peters, Petra Stute, Katrin Schaudig and 2 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Geburtshilfe und Frauenheilkunde, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

1 citing paper in PubMed, 11 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 3 countries.

Thomas RömerAbteilung für Gynäkologie und Geburtshilfe, Evangelisches Klinikum Köln Weyertal GmbH, Köln, Germany.
Johannes BitzerKlinik für Geburtshilfe und Gynäkologie, Universitätskrankenhaus Basel, Basel, Switzerland.
Christian EgarterAbteilung für Gynäkologische Endokrinologie, Medizinische Universität Wien, Wien, Austria.
Peyman HadjiFrankfurter Hormon und Osteoporosezentrum, Frankfurt am Main, Germany.
Marion KiechleDirektorin der Frauenklinik, Universitätsklinikum Rechts der Isar der Technischen Universität München (TUM), München, Germany.
Heike KramerÄrztliche Gesellschaft zur Gesundheitsförderung e. V., Spardorf/Erlangen, Germany.
Patricia G OppeltUniversitätsfrauenklinik Erlangen, Erlangen, Germany.
Klaus PetersFrauenarzt Praxis Hamburg, Hamburg, Germany.
Petra StuteKlinik für Gynäkologie und Geburtshilfe, Universitätsklinikum Inselspital Bern, Bern, Switzerland.
Katrin SchaudigPraxis für gynäkologische Endokrinologie HORMONE HAMBURG, Hamburg, Germany.
Inka WiegratzKinderwunsch & Hormonzentrum Frankfurt - Am Palmengarten, Frankfurt am Main, Germany.
Pedro-Antonio RegidorMedical Director Exeltis Europe, Ismaning, Germany.
Ärztliche Gesellschaft zur Gesundheitsförderung e.V · DEEndokrinologikum · DEEvangelisches Klinikum Köln Weyertal · DEGoethe University Frankfurt · DEKlinikum rechts der Isar · DEMedical University of Vienna · ATPhilipps University of Marburg · DEUniversitätsklinikum Erlangen · DEUniversity Hospital of Basel · CHUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hormonal contraceptives are an effective and safe method for preventing pregnancy. Progestins used in contraception are either components of combined hormonal contraceptives (tablets, patches or vaginal rings) or are used as a single active ingredient in progestin mono-preparations (the progestin-only pill (POP), implants, intrauterine systems or depot preparations). Progestins are highly effective in long-term contraception when used properly, and have a very good safety profile with very few contraindications. A new oestrogen-free ovulation inhibitor (POP) has recently been authorised in the USA and the EU. This progestin mono-preparation contains 4 mg of drospirenone (DRSP), which has anti-gonadotropic, anti-mineralocorticoidic and anti-androgenic properties. The hormone administration regimen of 24 days followed by a 4-day hormone-free period was chosen to improve bleeding control and to maintain oestradiol concentrations at early follicular-phase levels, preventing oestrogen deficiency. Clinical trials have demonstrated a high contraceptive effectiveness, a very low risk of cardiovascular side effects and a favourable menstrual bleeding pattern. Due to the long half-life of DRSP (30 - 34 hours), the effectiveness of the preparation is maintained even if a woman forgets to take a pill on a single occasion. Studies involving deliberate 24-hour delays in taking a pill have demonstrated that ovulation inhibition is maintained if a single pill is missed. Following a summary of the current status of oestrogen-free contraception, this review article will describe the clinical development programme of the 4 mg DRSP mono-preparation and the resulting data on the effectiveness and safety of this new oestrogen-free oral hormonal contraceptive.

Indexed as

contraceptioncontrol of menstrual bleedingdrospirenoneoral progestinsprogestin mono-preparations

Identifiers

PMID34565826
PMCPMC8454215
OpenAlexW3167492351

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.