Continuous Oral Contraceptives (COCs): Are Bleeding Patterns Dependent on the Hormones Given?
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Purpose
While there may be a decrease in the total number of bleeding days women experience with continuous-dosed COCs (no menstrual withdrawal week), these regimens frequently result in an increased number of “breakthrough” or non-scheduled bleeding days. Breakthrough bleeding is among the main reasons cited for discontinuation of combined COCs dosed traditionally (3 weeks of active pill, 1 week of placebo) or continuously, and may offset the perceived benefit of fewer withdrawal bleeding events for many women taking continuous-dosed COCs. The exact mechanisms responsible for breakthrough bleeding patterns during hormonal contraception are unknown and may be related to the pill formulation. This study is to determine whether progestin type or estrogen dose influences bleeding patterns, side effects, or satisfaction with combined oral contraceptives (COC) dosed continuously.
| Condition | Intervention |
|---|---|
|
Breakthrough Bleeding |
Drug: Birth control pills |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Single Group Assignment Masking: Double-Blind Primary Purpose: Prevention |
Eligibility| Ages Eligible for Study: | 18 Years to 49 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Age > 18 to 49 years old
- Good general health
- No medical contraindications to combined COC therapy.
- In addition, all participants were required to have taken cyclic COCs for at least three months at the time of enrollment, in order to avoid common transition bleeding with the initiation of COCs.
Contacts and Locations| United States, Oregon | |
| OHSU | |
| Portland, Oregon, United States, 97239 | |
| Principal Investigator: | Alison B Edelman, MD, MPH | Oregon Health and Science University |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00120913 History of Changes |
| Other Study ID Numbers: | OHSU IRB 7198 |
| Study First Received: | July 12, 2005 |
| Last Updated: | July 18, 2005 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Oregon Health and Science University:
|
Breakthrough bleeding while taking continuously dosed oral contraceptives |
Additional relevant MeSH terms:
|
Hemorrhage Metrorrhagia Pathologic Processes Uterine Hemorrhage Uterine Diseases Genital Diseases, Female Contraceptive Agents |
Contraceptives, Oral Contraceptives, Oral, Combined Reproductive Control Agents Physiological Effects of Drugs Pharmacologic Actions Therapeutic Uses Contraceptive Agents, Female |
ClinicalTrials.gov processed this record on June 18, 2013