Evidence map›Paper›PMID 39864646›Full record

ArticleContraception2025

Consensus recommendations for measuring the impact of contraception on the menstrual cycle in contraceptive clinical trials.

Amelia C L Mackenzie, Stephanie Chung, Emily Hoppes, Nora Miller, Anne E Burke, Sharon L Achilles, C Leigh Allen, Luis Bahamondes, Diana L Blithe, Vivian Brache and 35 more

Abstract readConsensus Statement
In one paragraph

Article in Contraception, 2025. 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
–field-weighted citation impact
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.

  1. 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

45 authors.

Amelia C L MackenzieGlobal Health and Population, FHI 360, Washington, DC, United States. Electronic address: amackenzie@fhi360.org.
Stephanie ChungGlobal Health and Population, FHI 360, Durham, NC, United States; Department of Maternal and Child Health, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, United States.
Emily HoppesGlobal Health and Population, FHI 360, Durham, NC, United States.
Nora MillerMann Global Health, Waterbury, VT, United States.
Anne E BurkeJohns Hopkins University School of Medicine and Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Sharon L AchillesBill & Melinda Gates Foundation, Seattle, WA, United States.
C Leigh AllenEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Bethesda, MD, United States.
Luis BahamondesDepartment of Obstetrics and Gynecology, University of Campinas, Faculty of Medical Sciences, Campinas, São Paulo, Brazil.
Diana L BlitheEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Bethesda, MD, United States.
Vivian BracheProfamilia, Santo Domingo, Dominican Republic.
Rebecca L CallahanGlobal Health and Population, FHI 360, Durham, NC, United States.
Alice F CartwrightGlobal Health and Population, FHI 360, Durham, NC, United States.
Kathryn B H ClancyUniversity of Illinois Urbana-Champaign, Urbana, IL, United States.
Enrico ColliExeltis R&D, Madrid, Spain.
Amanda Cordova-GomezResearch, Technology, and Utilization Division, Office of Population and Reproductive Health, Bureau for Global Health, United States Agency for International Development and the Public Health Institute, Washington, DC, United States.
Elizabeth C CostenbaderGlobal Health and Population, FHI 360, Durham, NC, United States.
Mitchell D CreininUniversity of California, Davis, Sacramento, CA, United States.
Hilary O D CritchleyCentre for Reproductive Health, Institute for Regeneration and Repair, University of Edinburgh, Edinburgh, Scotland, UK.
Gustavo F DoncelCONRAD - Eastern Virginia Medical School, Norfolk, VA, United States.
Laneta J DorflingerGlobal Health and Population, FHI 360, Durham, NC, United States.
Alison EdelmanOregon Health and Science University, Portland, OR, United States.
Thomas FaustmannBayer AG, Berlin, Germany.
Christoph GerlingerBayer AG, Berlin, Germany; Universität des Saarlandes, Homburg, Saarland, Germany.
Lisa B HaddadCenter for Biomedical Research, Population Council, New York, NY, United States.
Julie HenneganMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia.
Cássia Raquel Teatin JuliatoDepartment of Obstetrics and Gynecology, University of Campinas, Faculty of Medical Sciences, Campinas, São Paulo, Brazil.
Simon P S KibiraMakerere University School of Public Health, Kampala, Uganda.
Diana MansourWomen's Health Directorate, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England, UK.
Andres MartinezGlobal Health and Population, FHI 360, Atlanta, GA, United States.
Kristen A MattesonUniversity of Massachusetts Chan Medical School, Worcester, MA, United States.
Jacqueline A MaybinCentre for Reproductive Health, Institute for Regeneration and Repair, University of Edinburgh, Edinburgh, Scotland, UK.
Alexandria K MicklerResearch, Technology, and Utilization Division, Office of Population and Reproductive Health, Bureau for Global Health, United States Agency for International Development and the Public Health Institute, Washington, DC, United States.
Kavita NandaGlobal Health and Population, FHI 360, Durham, NC, United States.
Chukwuemeka E NwachukwuResearch, Technology, and Utilization Division, Office of Population and Reproductive Health, Bureau for Global Health, United States Agency for International Development and the Public Health Institute, Washington, DC, United States.
Funmilola M OlaOlorunCollege of Medicine, University of Ibadan, Ibadan, Oyo, Nigeria.
Kevin J PeineResearch, Technology, and Utilization Division, Office of Population and Reproductive Health, Bureau for Global Health, United States Agency for International Development and the Public Health Institute, Washington, DC, United States.
Chelsea B PolisCenter for Biomedical Research, Population Council, New York, NY, United States.
Carolina Sales VieiraDepartment of Obstetrics and Gynecology, Ribeirao Preto Medical School, University of São Paulo, Ribeirao Preto, São Paulo, Brazil.
Regine Sitruk-WareCenter for Biomedical Research, Population Council, New York, NY, United States.
Jennifer A SmitWits MatCH Research Unit, Department of Obstetrics and Gyanaecology, The University of the Witwatersrand, Durban, KwaZulu-Natal, South Africa.
Marsden SolomonFHI 360, Nairobi, Kenya.
Lisa M SouleIndependent Consultant, Bethesda, MD, United States.
Douglas TaylorGlobal Health and Population, FHI 360, Durham, NC, United States.
Elizabeth E TolleyGlobal Health and Population, FHI 360, Durham, NC, United States.
Olivia VandeputteMSI Reproductive Choices, London, England, UK.

Funding

Training Program in Reproductive, Perinatal, and Pediatric EpidemiologyT32HD052468 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Julie L Daniels · 2008 to 2026
$3.8M
Bill & Melinda Gates Foundation INV-006488NICHD NIH HHS T32 HD052468Wellcome Trust
6 · The paper itself

Abstract

objectiveWe sought to develop consensus recommendations for measurement and analysis of data on contraceptive-induced menstrual changes (CIMCs) in contraceptive clinical trials. We built upon previous standardization efforts over the last 50 years and prioritized input from a variety of global experts and current regulatory authority guidance on patient-reported outcomes. STUDY

designWe completed a formal consensus-building process with an interdisciplinary group of 57 experts from 30 organizations and 14 countries in five global regions who work across academia, nonprofit research organizations, the pharmaceutical industry, and funding agencies. Smaller topical working groups drafted and revised recommendations.

resultsWe developed 44 consensus recommendations, including research approaches to establish the evidence for future improvement in the measurement and analysis of CIMC data and guidance for investigators to implement presently. Priority recommendations call for simplification of terminology to make measurement accessible and patient-centered, accounting for intrinsic and extrinsic factors that may impact outcomes during study design and recruitment, standardized data collection of primary CIMC and acceptability outcomes, and harmonized approaches for analysis of these data, including addressing missing data.

conclusionBy virtually convening a large group of global experts working across disciplines and sectors via a formal methodology, we developed consensus recommendations that will improve the current and future measurement and analysis of CIMC data in contraceptive clinical trials. Using these standardized approaches will permit valid and reliable contraceptive product labeling on CIMC outcomes that matter to users and greater comparability across trials that can inform clinical guidance and contraceptive counseling. IMPLICATIONS: Consensus recommendations on measuring bleeding changes and related outcomes in contraceptive clinical trials can improve reporting of standardized, patient-centered outcomes in future product labeling. These improvements can enable healthcare providers to offer more relevant guidance on contraceptives and users to make more informed decisions about their choice of method.

Indexed as

Clinical Trials as TopicContraceptionMenstrual CycleFemaleHumansResearch DesignBleeding patternsConsensusContraceptive clinical trialsContraceptive-induced menstrual changesMenstrual cyclePatient reported outcome measures

Identifiers

PMID39864646
PMCPMC13210849

What OpenQuestion holds

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LicenceCC BY
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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.