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The Development of a New Triphasic Oral Contraceptive - The Proceedings of a Special Symposium held at the 10th World Congress on Fertility and Sterility, Madrid July 1980 (Paperback, Softcover reprint of the original 1st ed. 1984)
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The Development of a New Triphasic Oral Contraceptive - The Proceedings of a Special Symposium held at the 10th World Congress on Fertility and Sterility, Madrid July 1980 (Paperback, Softcover reprint of the original 1st ed. 1984)
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R. B. GREENBLATT The original oral contraceptives contained more
oestrogen in the form of ethinyloestradiol or mestranol and
progestagen in the form of norethynodrel or norethisterone than was
necessary f(x conception control. There has been a trend over the
years to reduce dosages of both components in order to minimize
side- eHects while ensuring eflcctiveness. However, as dosages were
lowered, there has been an increase in spotting and break- through
bleeding during the first few months of their adminis- tration. The
sequential pill appeared more physiological in that it followed
more closely physiological principles, but the need to employ large
doses ofEE or EE3ME to inhibit O\'ulation and the higher pregnancy
rate made the sequential regimen less attrac- ti\'e or useful. A
triphasic formulation has become available that takes advantage of
the synergism between ethinyloestradiol and the potent
levonorgestrel so that low doses of the oestrogen and very low
doses of the progestagen could be employed with great
effectiveness. Such a preparation is relatively free from side-
effects, partly because the basic pharmacological tenet of the
minimal dose for the desired result and the division of'the cycle
into three parts using 30 ,lIg ofEE for the first 6 days, then:)
days of 40 ,lIg, followed by 30 ,fIg for 10 da ys, for a total of21
days, thus more or less mimicking the physiological rise and fall
of 125 THE DEVELOP:'IE:-;T OF ,\ :-;E\\' TRIPH. \SIC OR.
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