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Assessment of Autonomic Tone in Normotensive Women Using Combined Hormonal Oral Contraceptive Containing Drospirenone

Phase 3
Conditions
Contraceptive Affecting the Autonomic Nervous System
Contraceptive Affecting Blood Pressure
Interventions
Drug: Contraceptives, Oral, Combined (Yaz®)
Registration Number
NCT01590849
Lead Sponsor
Instituto do Coracao
Brief Summary

The use of combined oral contraceptives has been associated with increased risk of adverse cardiovascular events. The exact mechanism by which these drugs exert this influence is uncertain. It is possible that changes in autonomic nervous system are involved. The objective of these study was to evaluate the effect of the use of a contraceptive containing 20 mcg of ethinyl estradiol and 3mg of drospirenone in the autonomic nervous system in healthy women. Few studies have been conducted in the field of hormonal contraception and evaluation of the autonomic nervous system work and no prospective, controlled study was published so far. These study will be the first.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
69
Inclusion Criteria
  • 20 to 40 years old
  • no use of hormonal contraceptives for at least 6 months before the study
  • need for contraceptive method
  • willingness to participate in the study
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Exclusion Criteria
  • positive pregnancy test
  • category 3 or 4 classification on WHO's Medical Eligibility Criteria for Contraceptive
  • smoking
  • obesity
  • fasting glucose above 100 mg/dL
  • abnormalities in lipid profile
  • use of other medications
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Hormonal ContraceptiveContraceptives, Oral, Combined (Yaz®)healthy women, users of COC containing 20 mcg EE and 3 mg DRSP (Yaz®), 24 days of active pills, 4 days of pill-free interval (n=40).
Primary Outcome Measures
NameTimeMethod
combined hormonal oral contraceptive with drospirenone and its influence on the autonomic nervous systemsix months after the intervention

The participants in this study will be 80 healthy women. After a counseling session concerning the advantages, disadvantages and side effects of contraceptive methods (COC or nonhormonal methods), the volunteers were divided into two study groups according to the method they chose to use as follows:

* Case group: healthy women, users of COC containing 20 mcg EE and 3 mg DRSP (Yaz®)(n=40).

* Control group: healthy women, users of nonhormonal methods of contraception (condoms or copper IUD) (n=40).

The acquisition of autonomic parameters will be performed through the device Finometer.

Secondary Outcome Measures
NameTimeMethod
combined hormonal oral contraceptive with drospirenone and its influence on blood pressuresix month after the intervention

Trial Locations

Locations (1)

Marcelo Gil Nisenbaum

🇧🇷

Sao Paulo, São Paulo, Brazil

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