Literature DB >> 10099999

Once-a-month treatment with a combination of mifepristone and the prostaglandin analogue misoprostol.

M L Swahn1, M Bygdeman, J K Chen, K Gemzell-Danielsson, S Song, Q Y Yang, P J Yang, M L Qian, W F Chang.   

Abstract

In this two centre study, the efficacy of 200 mg mifepristone orally followed 48 h later by 0.4 mg misoprostol orally for menstrual regulation was investigated. The dose of mifepristone was taken the day before the expected day of menstruation. Each volunteer was planned to participate for up to 6 months. A plasma beta human chorionic gonadotrophin (HCG) was measured on the day of mifepristone intake. The study was disrupted prematurely due to low efficacy. In 125 treatment cycles the overall pregnancy rate was 17.6% (22 pregnancies) and the rate of continuing pregnancies (failure) was 4.0%. Eight women discontinued the study due to bleeding irregularities which were seen in 15 cycles (12%). These effects on bleeding pattern made the timing of treatment day difficult. Late luteal phase treatment with a combination of mifepristone and misoprostol is not adequately effective for menstrual regulation.

Entities:  

Keywords:  Asia; Biology; China; Clinical Research; Developed Countries; Developing Countries; Eastern Asia; Endocrine System; Europe; Family Planning; Fertility Control, Postcoital; Gonadotropins; Gonadotropins, Chorionic; Gonadotropins, Pituitary; Hormone Antagonists; Hormones; Luteinizing Hormone; Menstrual Regulation; Misoprostol; Northern Europe; Physiology; Prostaglandins; Prostaglandins, Synthetic; Research Methodology; Research Report; Ru-486; Scandinavia; Sweden

Mesh:

Substances:

Year:  1999        PMID: 10099999     DOI: 10.1093/humrep/14.2.485

Source DB:  PubMed          Journal:  Hum Reprod        ISSN: 0268-1161            Impact factor:   6.918


  5 in total

Review 1.  Science, medicine, and the future. Contraception.

Authors:  D T Baird; A F Glasier
Journal:  BMJ       Date:  1999-10-09

Review 2.  Proven and potential clinical applications of mifpristone (RU486).

Authors:  Irving M Spitz
Journal:  Rev Endocr Metab Disord       Date:  2002-09       Impact factor: 6.514

3.  The science, medicine, and future of contraception.

Authors:  D T Baird; A F Glasier
Journal:  West J Med       Date:  2000-05

4.  Embracing post-fertilisation methods of family planning: a call to action.

Authors:  Elizabeth G Raymond; Francine Coeytaux; Kristina Gemzell-Danielsson; Kirsten Moore; James Trussell; Beverly Winikoff
Journal:  J Fam Plann Reprod Health Care       Date:  2013-10

5.  The regulatory cliff edge between contraception and abortion: the legal and moral significance of implantation.

Authors:  Sally Sheldon
Journal:  J Med Ethics       Date:  2015-06-17       Impact factor: 2.903

  5 in total

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