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Topic: Progestogen



  
 NGC - NGC Summary
In women whose headaches are exacerbated by progestogen, a better choice may be progesterone or a 19-norpregnane.
Breast discomfort and pain may increase with progestogen use.
The clinical goal of progestogen therapy when added to ET is to provide endometrial protection while minimizing unwanted side effects.
http://www.guideline.gov/summary/summary.aspx?view_id=1&doc_id=3736

  
 Progress in reproductive health research 52 part 2
Counselling is extremely valuable in helping women prepare for side-effects such as breakthrough bleeding, but only further research can provide the necessary knowledge to formulate new treatments and develop new methods that dispel the side-effects completely.
Progress in reproductive health research 52 part 2
Clearly, alternative more effective ways need to be found to meet women's concerns over disturbance of their bleeding patterns.
http://www.who.int/reproductive-health/hrp/progress2/52/news52_2.en.html

  
 DrN4U.com PROGESTERONE, PROGESTINS & PROGESTERONE CREAM
I do not recommend this as a premenopausal woman's progesterone level is for practical purposes nearly undetectable for most of the ovulatory cycle and there is no reason to unnecessarily expose her to any potential negative consequences of progestogen use.
This is referred to as "sequential therapy." Some women find the bleeding unacceptable and are less likely to continue HRT.
This is often referred to as "continuous-combined therapy." The rationale for this regimen is to prevent any vaginal bleeding, but some women experience persistent spotting, or bleeding.
http://www.drn4u.com/hrtpart3.htm

  
 Regimens for hormone replacement therapy
Intolerance of bleeding - consider continuous combined therapy, reduced frequency of cyclical progestogen or unopposed therapy in association with regular endometrial biopsy or, finally, endometrial resection.
These are an effective way of providing long-term oestrogen therapy and avoiding first pass liver effects.
When it is felt that the use of oestrogen is inadvisable, relief from hot flushes may be gained by the use of progestogens alone (10-30 mg medroxyprogesterone acetate).
http://www.australianprescriber.com/magazines/vol17no1/regimens.htm

  
 Women's Health: Why might I need progestogen in addition to oestrogen replacement?
As with any medication one tries to prescribe the lowest amount required to achieve the objective.
The endometrial response to sequential and continuous combined oestrogen-progestogen replacement therapy (2001-3405)
For some patients it may be necessary to increase the progestogen to prevent light bleeding at inappropriate times.
http://www.2womenshealth.com/28-09.htm

  
 PROGESTOGEN ONLY PILL (POP)
It may help with pre-menstrual tension and painful periods.
At these visits your doctor or nurse will check your blood pressure.
Do mention any illness or operations you have had.
http://www.surgerydoor.co.uk/medical_conditions/Indices/P/progestogen_only_pill.htm

  
 Progestogen only emergency contraception
There are thus professional and practical cautions to be considered if this method is to be prescribed.
You should discuss any concerns that you have with a doctor or nurse.
This is an unlicensed use and there is no readily available high dose preparation.
http://www.leicestershireprescriber.org.uk/prescall/Tablet/popemcon.htm

  
 Randomised comparison of oestrogen versus oestrogen plus progestogen hormone replacement therapy in women with ...
about therapy with oestrogen plus progestogen on the grounds
with oestrogen and progestogen may affect the lipid profile
plus progestogen may be as cardioprotective as therapy with
http://www.bmj.com/cgi/content/full/312/7029/473

  
 FPA Health: Sex Matters: Factsheets: The Progestogen IUD
If any of these things apply to you, it is best to talk them over with your doctor before deciding to use this kind of IUD.
approximately 3% of women using the Progestogen IUD report symptoms such as vaginal dryness, flushing, headaches, nausea, acne, and mood.
There is a slight chance there may be other effects to the body, eg.
http://www.fpahealth.org.au/sex-matters/factsheets/56.html

  
 Progesterone/progestogen releasing intrauterine systems for heavy menstrual bleeding (Cochrane Review)
There was no conclusive evidence of changes in quality of life between groups but women with the LNG IUS had a greater incidence of progestogenic side effects and intermenstrual bleeding.
Hysterectomy is often used to treat women with this complaint but medical therapy may be a successful alternative.The intrauterine coil device was originally developed as a contraceptive but the addition of uterine relaxing hormones, or progestogens, to these devices resulted in a large reduction in menstrual blood loss.
Selection criteria: Randomised controlled trials in women of reproductive age treated with progesterone/progestogen-releasing intrauterine devices versus no treatment, placebo, or other medical or surgical therapy for heavy menstrual bleeding within either the primary care, family planning or specialist clinic setting were eligible for inclusion.
http://www.update-software.com/abstracts/ab002126.htm

  
 Hormone replacement therapy and the endometrium -- Feeley and Wells 54 (6): 435 -- Journal of Clinical Pathology
ablation needs a progestogen, however, because some endometrial
A long-term study of "untreated" hyperplasia in 170 patients.
Endometrial histology and biochemistry in climacteric women during oestrogen and progestogen therapy.
http://jcp.bmjjournals.com/cgi/content/full/54/6/435

  
 Daily progestogen protects the endometrium -- 325 (7358): 0 -- BMJ
Hormone replacement therapies that include continuous progestogen are associated with less endometrial damage, when used long
daily progestogen, the authors say, seems to keep the endometrium
Daily progestogen protects the endometrium -- 325 (7358): 0 -- BMJ
http://bmj.bmjjournals.com/cgi/content/full/325/7358/0/b

  
 Sexuality and contraception when approaching menopause
Both vasectomy and the Essure procedure are not effective immediately, so another form of contraception must be used in the interim.
Menopausal symptoms such as hot flushes and vaginal dryness may also be controlled with COCs.
Women unable to take COCs due to personal or family medical history, or side effects from the oestrogen component, may be able to take POP.
http://www.womhealth.org.au/factsheets/sexandcontraception.htm

  
 Oestrogen and progestogen hormone replacement therapy for peri-menopausal and post-menopausal women: weight and body ...
Oestrogen and progestogen hormone replacement therapy for peri-menopausal and post-menopausal women: weight and body fat distribution (Cochrane Review).
Oestrogen and progestogen hormone replacement therapy for peri-menopausal and post-menopausal women: weight and body fat distribution (Cochrane Review)
Objectives: To evaluate the effect of unopposed oestrogen or combined oestrogen and progestogen hormone replacement therapy (HRT) upon the weight and body fat distribution of perimenopausal and postmenopausal women.
http://www.update-software.com/abstracts/AB001018.htm

  
 Progestogen only pill Guide - Young People
Progestogen makes the mucus around the cervix thicker, which makes it difficult for sperm to get into the womb.
A doctor or nurse will need to know about a woman's medical history and any illnesses suffered by I'mmediate members of her family, to find out if there are any medical reasons why it might not be suitable.
This pill is 99% effective if it is taken properly.
http://www.parentingyouths.com/contraceptionponlypill.html

  
 Progestogen for preventing miscarriage (Cochrane Review)
Objectives: To determine the efficacy and safety of progestogens as a preventative therapy against miscarriage.
However, further trials in women with a history of recurrent miscarriage may be warranted, given the trend for improved live birth rates in these women and the finding of no statistically significant difference between treatment and control groups in rates of adverse effects suffered by either mother or baby in the available evidence.
Selection criteria: Randomised or quasi-randomised controlled trials comparing progestogens with placebo or no treatment given in an effort to prevent miscarriage.
http://www.update-software.com/abstracts/AB003511.htm

  
 Low-Dose Pill with New Progestogen Is as Effective As Current Formulations
Drospirenone was developed to provide an alternative for women who sometimes experience adverse effects with current oral contraceptives--principally, thrombosis, hypertension, weight gain, breast pain and acne.
The researchers conclude that the new pill, with its combination of drospirenone and ethinyl estradiol, is "effective, safe, and well tolerated" by women and that it "may decrease the severity of some menstrually related symptoms."-- B.
Low-Dose Pill with New Progestogen Is as Effective As Current Formulations
http://www.agi-usa.org/pubs/journals/3226000a.html

  
 Electrolysis, permanent hair removal magazine, Hair Route
A review of 14 trials on the use of progesterone and progestogen therapy has found that progesterone and synthetic drugs similar to the female hormone, are of no help to women suffering from premenstrual syndrome (PMS).
Jon H. Blum, MD, the dermatologist from Farmington Hills, Michigan, who authored International Hair Route ’s column “Skin Talk,” for 15 years, has retired from professional practice and from writing, effective November 30, 2001.
http://www.hairroute.com/news/intronews.htm

  
 Progestogen-only methods of contraception
Implanon is a single rod system, releasing 3 keto-desogestrel, which is inserted subdermally by an injection-like technique.
New progestogens, such as nestorone, which is not absorbed from the gastrointestinal tract making it particularly suitable for use during lactation, are also being studied.
Since they release only progestogen, the major problem is the erratic bleeding patterns associated with the use of all progestogen-only methods.
http://www.australianprescriber.com/magazines/vol22no1/progestogen.htm

  
 eMJA: New contraceptive choices across reproductive life
However, they do not ameliorate vasomotor symptoms, and there are no studies as yet on their use as the progestogen component of hormone replacement therapy.
It not only provides excellent contraception and reduces the incidence of bleeding problems, but can also be used as the progestogen component of hormone replacement therapy after menopause.
Although progestogen implants and the progestogen intrauterine system may both be used long-term, they are rapidly reversible, with normal fertility levels restored almost immediately on their removal.
http://www.mja.com.au/public/issues/178_12_160603/for10744_fm.html

  
 CIN - The Pill: Abortifacient or Contraceptive? A Literature Review by Nicholas Tonti-Filippini, BA, MA
The different levels of progestogen used at the different stages of the cycle are also significant in regard to which effect is more dominant, the contraceptive effect on the cervix or the abortifacient effect on the endometrium [36].
The progestogen content however comes in several formulations: Levonorgestrel (150 - 250 mcg), Norethisterone (500 - 1000 mcg), Ethynodiol diacetate (500 - 1000 mcg), and Desogetrel (150 mcg) [6].
The progesterone-only formulations are more likely to have this unfortunate abortifacient result that the combined estrogen-progestogen formulations.
http://www.cin.org/life/pillabor.html

  
 MedlinePlus Medical Encyclopedia: Dysfunctional uterine bleeding (DUB)
Oral contraceptives or progestogen therapy are frequently used for this purpose.
In women of childbearing age, treatment is aimed at achieving regular menstrual cycles with normal patterns.
If anemia is present, iron supplementation may be recommended.
http://www.nlm.nih.gov/medlineplus/ency/article/000903.htm

  
 Progestogen-only Pill
There are also pills which have progestogen only and no oestrogen.
There are two main types of Pill which vary in hormone content and the way they work.
The most widely used are the combined pills which have two hormones, oestrogen and progestogen.
http://www.ifpa.ie/contraception/pop.html

  
 INATE - Patients - In-depth explanations - Deep-vein thrombosis and the pill
However, these pills had a number of side effects similar to the effect of male hormones, such as oily skin, weight gain, and raised cholesterol levels, so a ‘third-generation’ pill was designed with lower doses of different progestogens to reduce these side effects.
However, because only a small proportion of women have thrombophilia, women who want to start taking the pill are not checked routinely for this disorder unless they have a positive family history or personal history of blood clots.
As a result of the high doses used, there were more reports of cardiovascular complications, such as heart attack, and blood clots in the legs and lungs.
http://www.inate.org/en/1/2/6/19/default.aspx

  
 Women's Health: How effective are progestogen only pills?
Women's Health: How effective are progestogen only pills?
The quoted results vary from 0.3 to 4 per hundred women years ( Q13.6).
http://www.2womenshealth.com/14-08.htm

  
 Progestogen Only Pill - Patient UK
Progestogen Only Pill - Patient UK Progestogen Only Pill
The progestogen only pill (POP) is an effective method of contraception if used correctly.
How can I Judge the quality of health information?
http://www.patient.co.uk/showdoc.asp?doc=23068808

  
 A new morning-after pill with fewer side-effects will be available on prescription in Britain within two months. ...
The company claims that Levonelle is better tolerated and less likely to cause nausea.
A British bioethicist has predicted that, since medical advances are helping people to live longer, society may have to decide on the maximum allowable lifespan.
Schering Health Care's Levonelle will contain progestogen but, unlike the PC4 morning-after pill, it will not also contain oestrogen.
http://www.spuc.org.uk/news/20000117.htm

  
 Women's Health: How do progestogen only pills compare to combined pills?
Women's Health: How do progestogen only pills compare to combined pills?
http://www.2womenshealth.com/14-06.htm

  
 News - Hormone Replacement Therapy Associated with Increased Risk for Breast Cancer; Risk is Higher with ...
The study collaborators note that there was little variation in results between specific dosages or regimens of oestrogens and progestogens.
Adjusted relative risk was 1.30 for oestrogen only users, 1.45 for tiblone users, and 1.44 for users of other or unknown types of HRT, compared with never users.
http://www.docguide.com/news/content.nsf/news/8525697700573E1885256D80005B6C5C

  
 FPA Health: Sex Matters: FAQs: Hi, I have 2 children (the oldest is 2 years old and a 12 week old baby). I need to ...
I would like to get an IUD inserted.
Would it be a suitable choice for me?
http://www.fpahealth.org.au/sex-matters/faq/IUD_20030526.html

  
 Progestogen-Only Emergency Contraception and Ectopic Pregnancy
Physiological effects of progestogens may explain higher ectopic pregnancy risk
If the result is positive, the possibility of ectopic pregnancy should be considered.
The possibility of ectopic pregnancy should always be considered
http://www.medsafe.govt.nz/Profs/PUarticles/ectopic.htm

  
 Myocardial Infarction and the Use of Estrogen and Estrogen-Progestogen in Postmenopausal Women -- Sidney et al. 127 ...
who used only progestogen were also excluded as both case-patients
possibly premenopausal, users of progestogen only, women who
valid estimates of risk in relation to exposure to progestogen
http://www.acponline.org/journals/annals/01oct97/miestrog.htm

  
 Pharmacology - Medical Encyclopedia
gamolenic acid, gonadotropin release inhibitor, progestogen, dopamine agonist, oestrogen, prostaglandin, gonadorelin, clomiphene, tamoxifen, Diethylstilbestrol
http://www.nursingstudy.com/encyclopedia/Pharmacology.html

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