Abstract
The ethinylestradiol 20 μg/drospirenone 3 mg combined oral contraceptive (COC), administered in cycles of 21 days continuous use followed by a 7-day hormone-free interval (21/7) [Yasminelle®], has been proven to be an effective and well tolerated contraceptive with an acceptable bleeding pattern and good safety profile. In addition, the ethinylestradiol 20 μg/drospirenone 3 mg 21/7 COC prevents water-retention-related weight gain, and improves physical and emotional well-being, consistent with other drospirenone-containing COCs. In clinical studies, >85% of those who received the ethinylestradiol 20 μg/drospirenone 3 mg 21/7 COC were satisfied or very satisfied with this contraceptive. The positive attributes of the ethinylestradiol 20 μg/drospirenone 3 mg 21/7 COC beyond contraceptive protection may have important implications for improving treatment compliance and reducing treatment discontinuation. Physical well-being stayed the same or improved during use of this COC in 56% and 34% of women, respectively. Emotional well-being stayed the same or improved in 71% and 20% of women, respectively.
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References
Borgelt-Hansen L. Oral contraceptives: an update on health benefits and risks. J Am Pharm Assoc (Wash) 2001; 41(6): 875–86
Boschitsch E, Skarabis H, Wuttke W, et al. The acceptability of a novel oral contraceptive containing drospirenone and its effect on well-being. Eur J Contracept Reprod Health Care 2000; 5Suppl. 3: 34–40
Brown C, Ling F, Wan J. A new monophasic oral contraceptive containing drospirenone: effect on perimenstrual symptoms. J Reprod Med 2002; 47(1): 14–22
Thorneycroft IH, Gollnick H, Schellschmidt I. Superiority of a combined oral contraceptive containing drospirenone to a triphasic preparation containing norgestimate in acne treatment. Cutis 2004; 74(2): 123–30
Pearlstein TB, Bachmann GA, Zacur HA, et al. Treatment of premenstrual dysphoric disorder with a new drospirenone-containing oral contraceptive formulation. Contraception 2005; 72(6): 414–21
Yonkers KA, Brown C, Pearlstein TB, et al. Efficacy of a new low-dose oral contraceptive with drospirenone in premenstrual dysphoric disorder. Obstet Gynecol 2005; 106(3): 492–501
Rosenberg MJ, Waugh MS, Long S. Unintended pregnancies and use, misuse and discontinuation of oral contraceptives. J Reprod Med 1995; 40(5): 355–60
Thorneycroft IH. Yasmin: the reason why. Eur J Contracept Reprod Health Care 2002; 7Suppl. 3: 13–8
Skouby SO. Contraceptive use and behavior in the 21st century: a comprehensive study across five European countries. Eur J Contracept Reprod Health Care 2004; 9(2): 57–68
Foidart J-M, Wuttke W, Bouw GM, et al. A comparative investigation of contraceptive reliability, cycle control and tolerance of two monophasic oral contraceptives containing either drospirenone or desogestrel. Eur J Contracept Reprod Health Care 2000; 5(2): 124–34
Huber J, Foidart JM, Wuttke W, et al. Efficacy and tolerability of a monophasic oral contraceptive containing ethinylestradiol and drospirenone. Eur J Contracept Reprod Health Care 2000; 5(1): 25–34
Cibula D, Karck U, Weidenhammer HG, et al. Efficacy and safety of a low-dose 21-day combined oral contraceptive containing ethinylestradiol 20μg and drospirenone 3mg. Clin Drug Invest 2006; 26(3): 143–50
Fuhrmann U, Krattenmacher R, Slater EP, et al. The novel progestin drospirenone and its natural counterpart progesterone: biochemical profile and antiandrogenic potential. Contraception 1996; 54(4): 243–51
Muhn P, Krattenmacher R, Beier S, et al. Drospirenone: a novel progestogen with antimineralocorticoid and antiandrogenic activity. Pharmacological characterization in animal models. Contraception 1995; 51(2): 99–110
Parsey KS, Pong A. An open-label, multicenter study to evaluate Yasmin, a low-dose combination oral contraceptive containing drospirenone, a new progestogen. Contraception 2000; 61(2): 105–11
Bachmann G, Sulak PJ, Sampson-Landers C, et al. Efficacy and safety of a low-dose 24-day combined oral contraceptive containing 20 micrograms ethinylestradiol and 3mg drospirenone. Contraception 2004; 70(3): 91–8
Gruber DM, Huber JC, Benedetto Melis G, et al. A comparison of the cycle control, safety, and efficacy profile of a 21-day regimen of ethinylestradiol 20μg and drospirenone 3mg with a 21-day regimen of ethinylestradiol 20μg and desogestrel 150μg. Treat Endocrinol 2006; 5(2): 115–21
Kluft C, Endrikat J, Mulder SM, et al. A prospective study on the effects on hemostasis of two oral contraceptives containing drospirenone in combination with either 30 or 20 microg ethinylestradiol and a reference containing desogestrel and 30 microg ethinyl estradiol. Contraception 2006; 73(4): 336–43
Endrikat J, Dusterberg B, Ruebig A, et al. Comparison of efficacy, cycle control, and tolerability of two low-dose oral contraceptives in a multicenter clinical study. Contraception 1999; 60(5): 269–74
Endrikat J, Hite R, Bannemerschult R, et al. Multicenter, comparative study of cycle control, efficacy and tolerability of two low-dose oral contraceptives containing 20μg ethinylestradiol/ 100μg levonorgestrel and 20μg ethinylestradiol/500μg norethisterone. Contraception 2001; 64(1): 3–10
Mishell Jr DR, Guillebaud J, Westhoff C, et al. Combined hormonal contraceptive trials: variable data collection and bleeding assessment methodologies influence study outcomes and physician perception. Contraception 2007; 75(1): 4–10
Archer DF, Maheux R, DelConte A, et al. A new low-dose monophasic combination oral contraceptive (Alesse) with levonorgestrel 100 micrograms and ethinyl estradiol 20 micrograms. North American Levonorgestrel Study Group (NALSG). Contraception 1997; 55(3): 139–44
Fruzzetti F, Lello S, Lazzarini V, et al. The oral contraceptive containing 30 microg of ethinylestradiol plus 3mg of drospirenone is able to antagonize the increase of extracellular water occurring in healthy young women during the luteal phase of the menstrual cycle: an observational study. Contraception 2007; 75(3): 199–203
Endrikat J, Jaques MA, Mayerhofer M, et al. A twelve-month comparative clinical investigation of two low-dose oral contraceptives containing 20 micrograms ethinylestradiol/75 micrograms gestodene and 20 micrograms ethinylestradiol/150 micrograms desogestrel, with respect to efficacy, cycle control, and tolerance. Contraception 1995; 52(4): 229–35
Fuchs N, Prinz H, Koch U. Attitudes to current oral contraceptive use and future developments: the women’s perspective. Eur J Contracept Reprod Health Care 1996; 1(3): 275–84
Rosenberg MJ, Waugh MS. Oral contraceptive discontinuation: a prospective evaluation of frequency and reasons. Am J Obstet Gynecol 1998; 179(3 Pt 1): 577–82
Wiegratz I, Lee JH, Kutschern E, et al. Effect of four oral contraceptives on hemostatic parameters. Contraception 2004; 70(2): 97–106
Apter D, Borsos A, Baumgartner W, et al. Effect of an oral contraceptive containing drospirenone and ethinylestradiol on general well-being and fluid-related symptoms. Eur J Contracept Reprod Health Care 2003; 8(1): 37–51
Paoletti AM, Lello S, Fratta S, et al. Psychological effect of the oral contraceptive formulation containing 3mg of drospirenone plus 30 microg of ethinyl estradiol. Fertil Steril 2004; 81(3): 645–51
Acknowledgements
No honorarium was received by the authors for the preparation of this article. Editorial assistance for the development of this manuscript was provided by Richard Glover, Wolters Kluwer Health Medical Communications, with the financial support of Bayer Schering Pharma AG. Johannes Bitzer has acted as a consultant to or received honoraria from Bayer Schering Pharma, Schering Plough, Grünenthal, Procter & Gamble, and Lilly; and has received grants from Grünenthal, Bayer Schering Pharma, Organon, Lilly, Schering Plough, Pfizer, Solvay and Novo Nordisk. Anna Paoletti has no conflicts of interest that are directly relevant to the content of this article.
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Bitzer, J., Paoletti, A.M. Added Benefits and User Satisfaction with a Low-Dose Oral Contraceptive Containing Drospirenone. Clin. Drug Investig. 29, 73–78 (2009). https://doi.org/10.2165/0044011-200929020-00001
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DOI: https://doi.org/10.2165/0044011-200929020-00001