Contraceptive efficacy and cycle control with the Ortho Evra™/Evra™ transdermal system: the analysis of pooled data

Zieman, Mimi; Guillebaud, John; Weisberg, Edith; Shangold, Gary A.; Fisher, Alan C.; Creasy, George W.

doi:10.1016/s0015-0282(01)03275-7

Cited by 255 publications

(112 citation statements)

References 9 publications

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“…Excess pregnancies were found among transdermal contraceptive patch users weighing more than 90 kg (198 lb; 0.9% vs 0.3% among "perfect" users). 236,237 Data are limited and inconsistent about whether hormonal contraceptive effectiveness varies by body weight or BMI. 58 Systematic reviews and large cohort studies have revealed no or mixed effects for the effect of both body weight and BMI on COCs, IUDs, implants, and contraceptive injections.…”

Section: Adolescents With Disabilitiesmentioning

confidence: 99%

Contraception for Adolescents

Ott

Sucato²

2014

Pediatrics

245

133

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A working knowledge of contraception will assist the pediatrician in both sexual health promotion as well as treatment of common adolescent gynecologic problems. Best practices in adolescent anticipatory guidance and screening include a sexual health history, screening for pregnancy and sexually transmitted infections, counseling, and if indicated, providing access to contraceptives. Pediatricians’ long-term relationships with adolescents and families allow them to help promote healthy sexual decision-making, including abstinence and contraceptive use. Additionally, medical indications for contraception, such as acne, dysmenorrhea, and heavy menstrual bleeding, are frequently uncovered during adolescent visits. This technical report provides an evidence base for the accompanying policy statement and addresses key aspects of adolescent contraceptive use, including the following: (1) sexual history taking, confidentiality, and counseling; (2) adolescent data on the use and side effects of newer contraceptive methods; (3) new data on older contraceptive methods; and (4) evidence supporting the use of contraceptives in adolescent patients with complex medical conditions.

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Section: Adolescents With Disabilitiesmentioning

confidence: 99%

Contraception for Adolescents

Ott

Sucato²

2014

Pediatrics

245

133

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“…116 The risk of pregnancy with correct ("perfect") use of the patch is slightly higher for women who weigh more than 198 pounds than for women who weigh less (0.9% vs 0.3% in first 12 months of use). 117,118 Progestin-Only Pills…”

Section: Contraceptive Vaginal Ringmentioning

confidence: 99%

Contraception for Adolescents

Braverman¹,

Adelman²,

Alderman³

et al. 2014

Pediatrics

311

107

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Contraception is a pillar in reducing adolescent pregnancy rates. The American Academy of Pediatrics recommends that pediatricians develop a working knowledge of contraception to help adolescents reduce risks of and negative health consequences related to unintended pregnancy. Over the past 10 years, a number of new contraceptive methods have become available to adolescents, newer guidance has been issued on existing contraceptive methods, and the evidence base for contraception for special populations (adolescents who have disabilities, are obese, are recipients of solid organ transplants, or are HIV infected) has expanded. The Academy has addressed contraception since 1980, and this policy statement updates the 2007 statement on contraception and adolescents. It provides the pediatrician with a description and rationale for best practices in counseling and prescribing contraception for adolescents. It is supported by an accompanying technical report.

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“…Unfortunately, efficacy is somewhat lower in women weighing over 90 kg. 24 Side-effect profi le is comparable to most low dose OCs with the exception of higher rates of breast pain noted with the patch. 25 Irregular bleeding on OCs is usually not signifi cantly improved with the use of the patch.…”

Section: Hormonal Patch and Ringmentioning

confidence: 88%