Combined Oral Contraceptive Pills
All contain an estrogen, ethinyl estradiol or mestranol (the inactive 3-methyl ether of ethinyl estradiol, which must be metabolized by the liver into the active ethinyl estradiol; 50 µg of mestranol is equivalent to only 35 µg of ethinyl estradiol and should not be used when high-dose estrogen pills are needed; mestranol was the estrogen used in the first oral contraceptive, Enovid), although in varying amounts, and one of a number of different progestogens. They are usually taken for 21 days with then a seven-day gap during which a withdrawal bleed (often, but incorrectly, referred to as a menstrual period) occurs. These differ in the amount of estrogen given, and whether they are monophasic (only one dose of estrogen and progestogen during the 21 days) or multiphasic (varying doses). The introduction of extended-cycle monophasic pills (i.e. Seasonale) has shown that the withdrawal bleeding intervals can be decreased.
Read more about this topic: Oral Contraceptive Formulations
Famous quotes containing the words combined, oral and/or pills:
“The following general definition of an animal: a system of different organic molecules that have combined with one another, under the impulsion of a sensation similar to an obtuse and muffled sense of touch given to them by the creator of matter as a whole, until each one of them has found the most suitable position for its shape and comfort.”
—Denis Diderot (1713–1784)
“The Americans are violently oral.... That’s why in America the mother is all-important and the father has no position at all—isn’t respected in the least. Even the American passion for laxatives can be explained as an oral manifestation. They want to get rid of any unpleasantness taken in through the mouth.”
—W.H. (Wystan Hugh)
“I know a lot of wonderful men married to pills, and I know a lot of pills married to wonderful women. So one shouldn’t judge that way.”
—Barbara Bush (b. 1925)