Prescribing the oral contraceptive pill: key considerations for primary care physicians
This article provides primary care physicians with key considerations for prescribing combined or progestogen-only oral contraceptives, including patient selection criteria and estrogen dose optimization.
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This review article outlines key considerations for primary care physicians when prescribing combined oral contraceptive pills and progestogen-only pills, focusing on patient selection, estrogen dosage, regimen type, and progestogen generation. The authors highlight that while extended or continuous regimens are recommended for managing severe pain associated with conditions like endometriosis, they carry a higher risk of unscheduled bleeding compared to traditional cyclical use. Specific progestogens such as desogestrel and dienogest are identified in summary tables as having indications for treating dysmenorrhea and endometriosis, respectively. Relevance to endometriosis: listed as one indication for certain COCP preparations, though the paper's main focus is general contraceptive prescribing guidelines.
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Cites (3)
- Efficacy and Safety of Estradiol Valerate/Dienogest for the Management of Heavy Menstrual Bleeding: A Multicenter, Double-Blind, Randomized, Placebo-Controlled, Phase III Clinical Trial 2018
- 20 µg versus >20 µg estrogen combined oral contraceptives for contraception 2013
- Effects of continuous versus cyclical oral contraception: a randomized controlled trial 2008
References (5)
- 20 µg versus >20 µg estrogen combined oral contraceptives for contraception via crossref
- Effects of continuous versus cyclical oral contraception: a randomized controlled trial via crossref
- Efficacy and Safety of Estradiol Valerate/Dienogest for the Management of Heavy Menstrual Bleeding: A Multicenter, Double-Blind, Randomized, Placebo-Controlled, Phase III Clinical Trial via crossref
- doi:10.1080/13697130500148875 via crossref
- doi:10.1576/toag.8.4.229.27272 via crossref
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- europepmc
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- pubmed
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