Evaluation of the medicinal properties of a contraceptive containing ethinylestradiol and chlormadinone acetate


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Abstract

Objective. To evaluate the medicinal properties of an agent containing ethinylestradiol (EE) and chlormadinone acetate (CMA) in contraceptive-needing patients within the framework of the pharmacological epidemiological observational project. Subjects and methods. The investigation enrolled 161 contraception-needing patients. All the patients had no contraindications to combined oral contraceptives (COCs) and conditions in which COCs should be used with caution. All the women took EE in combination with CMA in a 21/7 cyclic regimen for contraception. To evaluate the medicinal properties of the agent, the investigators studied its effects on the nature of menstruation and related symptoms (tenderness, frequency of breast pain prior to menstruation, abundant discharge), and the skin (acne frequency and severity, skin oiliness). Results. During the investigation, there were pronounced changes associated with a decrease in complaints related to painful menstruation, their abundance, premenstrual breast pain; acne severity and higher skin fat content reduced. Conclusion. The findings may consider COC with EE/CMA as an agent having an anti-androgenic effect that can reduce the frequency and degree of manifestation of acne, have a positive effect on the nature of menstruation.

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About the authors

Nataliya Mikhaylovna Podzolkova

Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia

Email: podzolkova@gmail.com
Doctor of Medicine, Professor, Department of Obstetrics and Gynecology

Yuliya Alekseevna Koloda

Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia

Email: julkol@yandex.ru
PhD, Assistant Professor, Department of Obstetrics and Gynecology

Vera Vyacheslavovna Korennaya

Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia

Email: drkorennaya@mail.ru
PhD, Assistant Professor, Department of Obstetrics and Gynecology

Viktor Alekseevich Aksenenko

Stavropol State Medical University

Email: aksenenko_@mail.ru
chief obstetrician-gynecologist, Ministry of health of the Stavropol territory, Doctor of Medicine, Professor, Head of the department of Obstetrics and Gynecology

Nailya Edgarovna Bakirova

Kazan (Volga) Federal University; KORL LLC

Email: nailyabak@yandex.ru
Candidate of Medical Sciences, Senior Lecturer of Department of Surgery; Head of the Department of gynecology

Anna Valeryevna Vorontsova

Ural State Medical University, Ministry of Health of Russia

Email: _valerevna@mail.ru
Candidate of Medicine, Associate Professor of the Department of Obstetrics and Gynecology

Elena Vladimirovna Enkova

N.N. Burdenko Voronezh State Medical University

Email: enkova@bk.ru
Doctor of Medical Science, Professor of the Surgery, Obstetrics and Gynecology Department of the Institute of Additional Postgraduate Education

L. Yu Karakhalis

Kuban State Medical University

Email: lomela@mail.ru
MD, PhD, professor, the Department of Obstetrics, Gynecology, and Perinatology, Faculty of Postgraduate Education

Nadezhda Yuryevna Katkova

Nizhny Novgorod State Medical Academy

Email: rector@gma.nnov.ru
Department of Obstetrics and Gynecology, Postgraduate Education Faculty

Galina Nikolaevna Minkina

A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia

Email: minkinagn@mail.ru
Doctor of Medicine, Professor of Department of Obstetrics and Gynecology

Elena V. Misharina

D.O. Ott Research Institute of Obstetrics, Gynecology, and Reproductology

Email: mishellena@gmail.com
PhD, senior researcher at the Department of Endocrinology

Anna Alexandrovna Olina

Academician E.A. Vagner Perm State Medical University

Email: olina29@mail.ru
Doctor of Medicine, Professor of Department of obstetrics and gynecology

L. S Sotnikova

Siberian State Medical University, Ministry of Health of Russia

Email: profmed.tomsk@gmail.com

Natalia V. Spiridonova

Samara State Medical University

Email: nvspiridonova@mail.ru
Doctor of Medicine, Professor, the Head of the Department of Obstetrics and Gynecology Obstetrics, Institution of Postgraduate Studies

Ludmila Vladimirovna Tkachenko

Volgograd State Medical University

Doctor of Medicine, Professor, Head of Department of obstetrics and gynecology, Faculty of advanced training of doctors

Armine Robertovna Khachaturyan

Saint Petersburg State University

Email: armine2709@mail.ru
Associate Professor of the Department of Obstetrics, Gynecology and Reproductology

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