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孕二烯酮(δ¹⁵ - d - 炔诺孕酮)作为排卵抑制剂的疗效(作者译)

[The efficacy of gestoden (delta 15-d-norgestrel) as ovulation inhibitor (author's transl)].

作者信息

Schneider W H, Schmid R, Spona J

出版信息

Wien Klin Wochenschr. 1981 Oct 16;93(19):601-4.

PMID:6798765
Abstract

Two single-phase combined low-dosage oral contraceptive preparations were tested with respect to their effects on functional parameters of the menstrual cycle. Twenty young women with a normal biphasic menstrual cycle took part in this random study. Evaluation of cervical function, consistency and crystallisation ability of the cervical mucous and of the karyopyknosis index as well as radioimmunoassay of the serum levels of LH, FSH, HPRL, 17-beta-oestradiol and progesterone were carried out consecutively as from the 8th day over the duration of one control cycle and one in which contraceptive as administered. Preparation I (SH D 356 A) contained 75 micrograms delta 15-d-norgestrel (Gestoden) + 30 micrograms ethinyloestradiol. Whilst preparation II (SH D 356 B) contained 75 micrograms d-norgestrel + 30 micrograms ethinyloestradiol. Both substances successfully inhibited ovulation, whereby the former achieved a markedly greater suppression of function with regard to all parameters and, yet good menstrual cycle control was maintained. Hence, gestoden enables the content of active components in oral contraceptives to be reduced even further without detracting from the safety of the technique.

摘要

对两种单相联合低剂量口服避孕药制剂对月经周期功能参数的影响进行了测试。20名月经周期正常呈双相型的年轻女性参与了这项随机研究。从第8天开始,在一个对照周期和一个服用避孕药的周期内,连续进行宫颈功能、宫颈黏液的黏稠度和结晶能力、核固缩指数的评估,以及血清促黄体生成素(LH)、促卵泡生成素(FSH)、高泌乳素(HPRL)、17-β-雌二醇和孕酮水平的放射免疫测定。制剂I(SH D 356 A)含有75微克δ15-d-去氧孕烯(孕二烯酮)+30微克炔雌醇。而制剂II(SH D 356 B)含有75微克d-炔诺孕酮+30微克炔雌醇。两种药物均成功抑制了排卵,其中前者在所有参数方面对功能的抑制作用明显更强,同时仍能维持良好的月经周期控制。因此,孕二烯酮能够在不影响该技术安全性的情况下,进一步降低口服避孕药中活性成分的含量。

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[Hypophyseal reaction state during oral contraceptiva (author's transl)].
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