Hormonal Contraception - Combined Vs. Progestogen-only

Combined Vs. Progestogen-only

While unpredictable breakthrough bleeding is a possible side effect for all hormonal contraceptives, it is significantly more common with progestogen-only formulations. Most regimens of COCPs, NuvaRing, and the contraceptive patch incorporate a placebo or break week that causes regular withdrawal bleeding. While women using combined injectable contraceptives may experience amenorrhea (lack of periods), they typically have predictable bleeding comparable to that of women using COCPs.

Although high-quality studies are lacking, it is believed that estrogen-containing contraceptives significantly decrease the quantity of milk in breastfeeding women. Progestogen-only contraceptives are not believed to have this effect. In addition, while in general the progestogen-only pill is less effective than other hormonal contraceptives, the added contraceptive effect of breastfeeding makes it highly effective in breastfeeding women.

While combined contraceptives increase the risk for deep vein thrombosis (DVT - blood clots), progestogen-only contraceptives are not believed to affect DVT formation.

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Famous quotes containing the word combined:

    Thy knotted and combined locks to part,
    And each particular hair to stand on end,
    Like quills upon the fretful porpentine.
    William Shakespeare (1564–1616)