Gynecology Book

http://www.fpnotebook.com/

Oral Contraceptive Selection

Aka: Oral Contraceptive Selection, OCP Selection
Advertisement
  1. See Also
    1. Oral Contraceptive
    2. Oral Contraceptive Side Effect Management
  2. Background: Legend
    1. Progesterone Activity (Progestin/Androgen/Endometrial)
      1. Progestational Activity
      2. Androgenic Activity
      3. Endometrial Activity
    2. Activity Grading
      1. Low: L
      2. Medium: M
      3. High: H
  3. Preparations: Good Initial Choices (35ug EE)
    1. Monophasic (Progesterone Activity: L/L/L)
      1. Ortho-Novum 1/35
      2. Ovcon
    2. Multiphasic: (Progesterone Activity: L/M/M)
      1. Ortho Novum 7/7/7
      2. Tri-Norinyl
      3. Tri-Levlen
      4. Triphasil
  4. Preparations: Good Alternative Choices (Progesterone Activity: M/M/M)
    1. Ethinyl Estradiol: 30 ug
      1. Levlen
      2. Lo-Ovral
      3. Nordette
    2. Ethinyl Estradiol: 35 ug
      1. Norinyl 1/35
    3. Ethinyl Estradiol: 50 ug
      1. Ovcon 1/50
    4. Mestranol: 50 ug
      1. Norinyl 1/50
      2. Ortho-Novum 1/50
  5. Preparations: Non-Contraceptive Uses of Oral Contraceptive
    1. Dysfunctional Uterine Bleeding
      1. OCP Characteristics
        1. Balanced OCP
        2. High Endometrial Activity
      2. Examples
        1. Demulen 1/35
        2. Loestrin 1.5/30 or 1/20
        3. Brevicon 0.5/35
        4. Modicon 0.5/35
    2. Dysmenorrhea (in DUB or Endometriosis)
      1. OCP Characteristics
        1. High Progestational Activity
      2. Examples
        1. Loestrin 1.5/30 or 1/20
        2. Desogen
        3. Ortho-Cept
        4. Demulen 1/35
    3. Polycystic Ovary Syndrome (Stein-Leventhal)
      1. Ovarian suppression
      2. OCP Characteristics
        1. High Estrogenic Activity (or higher Estrogen dose)
        2. Low Androgenic Activity
      3. Examples
        1. Demulen 50
        2. Ovcon 50
    4. Acne Vulgaris
      1. OCP Characteristics
        1. Low Androgenic Activity
      2. Examples
        1. Demulen 1/35
        2. Modicon
        3. Ortho-Cyclen
        4. Ortho Tri-Cyclen
    5. Endometriosis or Adenomyosis
      1. OCP Characteristics
        1. Low Estrogenic Activity (or low Estrogen dose)
        2. High Progestational Activity
      2. Examples
        1. Loestrin 1.5/30 or 1/20
        2. Desogen
        3. Ortho-Cept
        4. Demulen 1/35
    6. Fibrocystic Breast Disease
      1. OCP Characteristics
        1. Low Estrogenic Activity (or low Estrogen dose)
      2. Examples
        1. Loestrin 1/20
    7. Breast Tenderness or Engorgement
      1. OCP Characteristics
        1. Low Estrogenic Activity
        2. Higher Androgenic Activity
      2. Examples
        1. Loestrin 1.5/30
        2. Nordette
        3. Levlen
        4. Levora 0.15/30
  6. References
    1. Cerel-Suhl (1999) Am Fam Physician 60(7):2073
    2. Speroff (1993) Obstet Gynecol 81:1034-47
    3. Dickey (1998) Managing Contraceptive Pill Patients

Navigation Tree