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Progestogen-only pills," "Progestin-only pills," and "Progesterone-only pills" are terms each referring to the same class of synthetic hormone medications. The phrase "Progestogen-only pill" is used by the World Health Organization and much of the international medical community. [ 7 ]
It is one of the two major types of hormonal contraception, with the other major type being combined hormonal contraceptive methods (including both estrogen and a progestogen). [1] There are several progestogen only contraceptive methods: [1] Progestogen-only pills ("mini-pills") (e.g., desogestrel, norethisterone)
This is a list of progestogens (progesterone and progestins) and formulations that are approved by the FDA Tooltip Food and Drug Administration in the United States. Progestogens are used as hormonal contraceptives , in hormone replacement therapy for menopausal symptoms , and in the treatment of gynecological disorders .
Specific to Progesterone only pills, even if dosing is initiated within five days, backup contraception is suggested in the first 48 hours since the first pill. [24] In the case of dosing initiated after the 5th day from menstruation, effects usually take place after seven days and other contraceptive methods should remain in place until then.
Birth control pills containing ethinylestradiol and a progestin are associated with an increased risk of venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE). [52] The incidence is about 4-fold higher on average than in women not taking a birth control pill. [52]
[18] [19] [20] Desogestrel is sometimes referred to as a "third-generation" progestin. [21] Like norethisterone and Norgestrel, Desogestrel is widely available as a progestogen-only "mini pill" for birth control. [22] [23] [24] Desogestrel is marketed widely throughout the world. [25] It is available as a generic medication. [26]
In contrast to progestogen-only birth control, the addition of progestins to oral estrogen therapy, including in combined birth control pills and menopausal hormone therapy, is associated with a higher risk of VTE than with oral estrogen therapy alone.
The different types available include the pill, the patch and the vaginal ring, which are all widely available, [3] and an injection, which is available in only some countries. [4] They work by mainly suppressing luteinising hormone (LH) and follicle-stimulating hormone (FSH) and in turn preventing ovulation. [1]
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