Evidence map›Paper›PMID 35283082›Full record

Trial reportContraception2022

Preliminary side effect profile, safety, and tolerability of hormonal contraception among women receiving opioid-agonist therapy.

Heidi S Melbostad, Deborah S Wachtel, Kerstin A Lipke, Gary J Badger, Alexis K Matusiewicz, Catalina N Rey, Lauren K MacAfee, Anne K Dougherty, Sarah H Heil

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contraception, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 33% 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, 3 citations in OpenAlex.

  1. Review
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

9 authors at 2 institutions in 1 country.

Heidi S MelbostadVermont Center on Behavior and Health, Burlington, VT, United States; Department of Psychiatry, Larner College of Medicine, University of Vermont, Burlington, VT, United States.
Deborah S WachtelVermont Center on Behavior and Health, Burlington, VT, United States; College of Nursing and Health Sciences, University of Vermont, Burlington, VT, United States.
Kerstin A LipkeVermont Center on Behavior and Health, Burlington, VT, United States; Department of Psychiatry, Larner College of Medicine, University of Vermont, Burlington, VT, United States.
Gary J BadgerVermont Center on Behavior and Health, Burlington, VT, United States.
Alexis K MatusiewiczVermont Center on Behavior and Health, Burlington, VT, United States; Department of Psychiatry, Larner College of Medicine, University of Vermont, Burlington, VT, United States.
Catalina N ReyVermont Center on Behavior and Health, Burlington, VT, United States; Department of Psychiatry, Larner College of Medicine, University of Vermont, Burlington, VT, United States.
Lauren K MacAfeeDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Larner College of Medicine, University of Vermont, Burlington, VT, United States.
Anne K DoughertyDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Larner College of Medicine, University of Vermont, Burlington, VT, United States.
Sarah H HeilVermont Center on Behavior and Health, Burlington, VT, United States; Department of Psychiatry, Larner College of Medicine, University of Vermont, Burlington, VT, United States; Department of Psychological Science, University of Vermont, Burlington, VT, United States. Electronic address: sarah.heil@uvm.edu.
University of Vermont · USVermont Department of Health · US

Funding

Vermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SIGMON, STACEY C · 2013 to 2022
$21.3M
TRAINING IN BEHAV. PHARMACOLOGY OF HUMAN DRUG DEPENDENCET32DA007242 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HEIL, SARAH H, HIGGINS, STEPHEN T · 1990 to 2025
$8.2M
Medically-supervised withdrawal vs. agonist maintenance in the treatment of pregnant women with opioid use disorder: Maternal, fetal, and neonatal outcomesR01DA047867 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HEIL, SARAH H, JONES, HENDREE E · 2018 to 2022
$3.3M
Improving Effective Contraceptive use Among Opioid-Maintained Women: Stage IIR01DA036670 · NIDA · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HEIL, SARAH H · 2014 to 2019
$3.0M
NIDA NIH HHS R01 DA036670NIDA NIH HHS R01 DA047867NIDA NIH HHS T32 DA007242NIGMS NIH HHS P20 GM103644
6 · The paper itself

Abstract

OBJECTIVE(S): To characterize for the first time the side effect profile, safety, and tolerability of hormonal contraception among women receiving opioid-agonist therapy. STUDY

designWe conducted a secondary analysis of data collected from participants in a three-arm randomized controlled trial (N = 138) aimed at increasing effective contraceptive use among women receiving opioid-agonist therapy. Participants in the 2 intervention conditions (n = 90) had free access to hormonal contraception at each of the 14 visits scheduled during the 6-month intervention. Contraceptive use and side effects were recorded at each visit; participants could change methods or discontinue use at any time. Verbatim side effects were classified using Medical Dictionary for Regulatory Activities (MedDRA) terminology.

resultsOf 67 participants reporting hormonal contraceptive use, 29 (43%) initiated implants, 14 (21%) intrauterine devices, 13 (19%) combined pills, 11 (16%) progestin-only pills, 10 (15%) injectables, 1 (2%) ring, and 1 (2%) patch; the average (±standard deviation) duration of use was 129 ± 55, 129 ± 60, 108 ± 62, 102 ± 61, 111 ± 31, 145, and 18 days, respectively. A total of 321 side effects were reported by 55 (82%) participants. Fifty (75%) participants reported menstrual cycle changes/uterine bleeding, followed by headaches (16, 24%), weight gain (15, 22%), and abdominal pain or nausea/vomiting (11, 16%). No serious side effects were reported. Twelve participants (18%) changed methods and 13 (19%) discontinued all hormonal contraceptive use. CONCLUSION(S): The hormonal contraceptive side effects reported by this small group of women receiving opioid-agonist therapy appear consistent with those reported by the general population, was generally well-tolerated, and did not raise safety concerns. IMPLICATIONS: These results provide important preliminary evidence that hormonal contraceptive use produces a familiar side effect profile and is well-tolerated by women receiving opioid-agonist therapy, although studies with larger samples followed over longer periods of time with appropriate comparison conditions are needed to fully assess tolerability and safety.

Indexed as

Analgesics, OpioidIntrauterine DevicesContraceptionContraceptive AgentsFemaleHormonal ContraceptionHumansUterine HemorrhageAnalgesics, OpioidContraceptive AgentsHormonal contraceptionHormonal contraceptive useOpioid-agonist therapyOpioid use disorderSafetySide effectsTolerability

Identifiers

PMID35283082
PMCPMC9317667
OpenAlexW4220946229

What OpenQuestion holds

Textmetadata
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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.