Primolut N at the
age of 48 yrs continuously –How safe metabolically –Is Primolut N cardiac &
lipid friendly?? We should note that some of the synthetic
progestins (Primolut-N in your case at the age of 48 yrs) is basically a prodrug, which need to be metabolized to
become active compounds. Besides the progestogenic effect, which is in common
for all progestins, there is a wide range of biological effects, which are
different for the various progestins and have to be taken into account, when
medical treatment is considered. How little we know about Progesterone at the
age of 48 yrs and its role in etiogenis of breast cancer??
What, then are the ancestor of progesterone?? Evolution of Progesterones::-History of progestins selection oral contraceptive
drugs and their use :-The first hormonal
pill, called Enovid, was approved by the Federal Drug Administration (FDA) in
May 1960. It contained mestranol and norethisterone. Over the years, oral contraceptives have evolved through gradual lowering
of ethinyl estradiol (EE) content, introduction of 17β estradiol, and many different progestins. The standard regimen allows for 21 days of pill containing steroids
and a pill-free interval of 7 days. Recently, continuous or extended regimens
have been approved. In order to improve compliance, alternative routes of
combined oral contraceptive (COC) administration have been developed such as vaginal or transdermal routes.In 2009, according to the United Nations, the mean global
percentage using contraception in women who are married or in union was 62.7%. COC represented
8.8% of contraceptive prevalence, reaching 15.4% in more developed countries.
More than 100 million women worldwide use COCs. However, each year, many unintended pregnancies occur, indicating that contraception
still needs to be promoted. Over the years, oral
contraceptives have evolved through gradual lowering of ethinyl
estradiol (EE) content, introduction of 17β estradiol,
and many different progestins.
The standard regimen allows for 21 days of pill containing steroids and a
pill-free interval of 7 days. Recently, continuous or extended regimens have
been approved. In order to improve compliance, alternative routes of combined
oral contraceptive (COC)
administration have been developed such as vaginal or transdermal routes.
In 2009, according to the United Nations, the mean global
percentage using contraception in women who are married or in union was 62.7%. COC
represented 8.8% of contraceptive prevalence, reaching 15.4% in more developed
countries. More than 100 million women worldwide use COCs. However, each year,
many unintended
pregnancies occur, indicating that
contraception still needs to be promoted.
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