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Characteristics Type of OC Indicated Suggested OC for Initial

Cylces (see table 2)

Regular light menses. 2-4 days flow: mild or

no cramps

Low endometrial activity Groups 3,6,8

Regular moderate menses. 4-6 days flow:moderate cramps

Intermediate endometrial activity Groups 2, 4, 5, 7, 9, 10,11

Regular heavy menses. 6 plus days flow:severe cramps High endometrial activity Group 13

Irregular and infrequent menses,hypermenorrhea whon occurs: associated

acne, oily skin, hirsutism

Probably polycystic ovarian syndrome.High progestional and low androgenic

activity desireable.

Groups 2, 6, 7, 8, 10

Irregular menses, hypomenorrhea when

occurs: no adreogen effects

If galactorrhea present, possible pituitary

adenoma. Skull x-ray or prolactin needed.If no galactorrhea, low estrogen and low

progestational activity combination OCs

or multiphasic OCs may be used

Groups 1, 5, 8 , barrier

and spermicidal methods

Smokers- ages 35+ Combination OCs contraindicated Group 1, barrier and

spermicidal methods

Nonsmokers- 35+ Sub 35 mcg estrogen, intermediate/high

progestin, combination OC

20-25 mcg EE Ocs from

groups 2, 3, 5, 7, 8Weight less than 110 lbs Lower estrogen and low progestin dose Groups 5, 7, 8 or any tri-phasic

Weight more than 160 lbs High estrogen and intermediate to highprogestin

Group 11, 12, 13

Progesterone hypersensitivity: history of

toxemia, stong family history of hypertension,

excessive weight gain, tiredness or variconeveins during pregnancy, depression, excessive

premenstrual edema

Low progestin does and progestational

activity. Monitor blood pressure.

Groups 1, 8, 10

(antimineralocorticoid

activity) or any triphasic

Estrogen hypersensitivity: excessive nausea,

edema or hypotsn in pregnancy,hypertrophy of

cervix or uterus, uterine fibrios, large or

fibrocstic breasts; heavy menses, migraine

Low estrogenic activity Group 1 or any 20 mcg

EE OC

Conditions predisposing to cardiovascular

disease type ii hyperlipidemia (high

cholesterol) diabetes mellitus, obesity,

smoking more than 15 cigarettes per day,

hypertension, varicose veins, thrombophlebitis

during pregnancy, family of cardiovascular

disease before age 50

Combination pills not recommended. Group 1, barrier and

spermicidal methods

Surgery planned within 1-4 weeks Combination pills should be stopped Group 1, barrier and

spermicidal methods

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Group Index name: Generic name Activity

1 Micronor, Nor-QD: Camila, Errin,

Jolivette, Nora-be Ovrette: Lybrel

Endometrial: Low

Progestational: Low

Androgenic: low

2 Mircette: Kariva, Desogen, Ortho-cept:

Apri, reclipsen

Endometrial:Intermediate

Progestational: highAndrogenic: low

3 Loestrin 1/20: Junel 1/20, Microgestin

1/20 Loestrin 1/24: Loestrin 1.5/30; Junel1/50, Microgestin 1.5/30 Estrostep:

Seasonale, Seasonique

Endometrial: Low

Progestational: intermediateAndrogenic: Intermediate

4 LoOvral: Cryselle, Low-Ogesstrel

NordetteL Levlen, Levora, Portia

Endometrial:intermediate

Progestational: intermediate

Androgenic: intermediate

5 Ortho Tri-Cyclen Lo: Ortho Tri-Cyclen:

Triness, Tri-previfem, tri-sprintec Ortho-

cyclen: monessa, privifem, sprintecTraphasil: Enpressse, tri-levlen, trivora

Ovcon 25: Balziva

Endometrial: intermediate

Progestational: low

Androgenic: low

6 Demulen 1/35:kelnor, zovia 1/35 Endometrial: low

Progestational: high

Androgenic: low

7 Cyclwaa: Velivet

Ortho-vovum7/7/7: Nortel 7/7/7Orthonovum 10/11: Necon 10/11, Nelova

10/11

Endometrial:intermediate

Progestational:intermediateAndrogenic:low

8 Alesse: avianna, lessina, levlite, lybrel,

lutera, sronyx Brevicon, modican: necon .5/35, nortral .5/35Tri-norinyl: arnelle

Endometrial:low

Progestational:lowAndrogenic:low

9 Norinyl, ortho-novum 1/35; necon 1/35,

nortrel 1/35

Endometrial:intermediate

Progestational:intermediate

Androgenic:intermediate

10 Yasmin yaz Endometrial:intermediate

Progestational:higheAndrogenic:none

11 Demulen 1/50: zovia 1/50 Endometrial: intermediateProgestational: high

Androgenic: low

12 Norinyl, ortho-novum 1/50M: necon1/50M, Nelova 1/50 M Norlestrin 1/50,

ovcon 1/50

Endometrial: intermediateProgestational: intermediate

Androgenic: intermediate

13 Ovral: ogestrel Endometrial: high

Progestational: high

Androgenic: high

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Taken from:

Managing Contraceptive Pill Patents, Thirteenth edition, by Richard P. Dickey, MD, PhD