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Cochrane Database of Systematic Reviews

Anticonceptivos orales para los quistes ováricos funcionales

Information

DOI:
https://doi.org/10.1002/14651858.CD006134.pub5Copy DOI
Database:
  1. Cochrane Database of Systematic Reviews
Version published:
  1. 29 April 2014see what's new
Type:
  1. Intervention
Stage:
  1. Review
Cochrane Editorial Group:
  1. Cochrane Fertility Regulation Group

Copyright:
  1. Copyright © 2014 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Authors

  • David A Grimes

    Correspondence to: Obstetrics and Gynecology, University of North Carolina, School of Medicine, Chapel Hill, USA

    [email protected]

  • LaShawn B. Jones

    Brooklyn, USA

  • Laureen M Lopez

    Clinical Sciences, FHI 360, Durham, USA

  • Kenneth F Schulz

    Quantitative Sciences, FHI 360 and UNC School of Medicine, Durham, USA

Contributions of authors

D Grimes (while at FHI 360) developed the idea, registered the title, and edited the review. D Grimes also conducted the second data abstraction for the 2009 and 2011 updates. For the initial review, L Jones (while at FHI 360) and L Lopez conducted the data abstraction and drafted the manuscript. K Schulz edited the review and provided statistical oversight. L Lopez conducted the updates from 2009 to 2014 and incorporated new trials (when applicable).

Sources of support

Internal sources

  • No sources of support supplied

External sources

  • US Agency for International Development, USA.

    Support for conducting the review and updates at FHI 360 (through 2011)

  • National Institute of Child Health and Human Development, USA.

    Support for conducting the review and updates at FHI 360

Declarations of interest

D Grimes has consulted with the pharmaceutical companies Bayer Healthcare Pharmaceuticals and Merck & Co, Inc.

Acknowledgements

Carol Manion of FHI 360 assisted with the literature searches.

Version history

Published

Title

Stage

Authors

Version

2014 Apr 29

Oral contraceptives for functional ovarian cysts

Review

David A Grimes, LaShawn B. Jones, Laureen M Lopez, Kenneth F Schulz

https://doi.org/10.1002/14651858.CD006134.pub5

2011 Sep 07

Oral contraceptives for functional ovarian cysts

Review

David A Grimes, LaShawn B. Jones, Laureen M Lopez, Kenneth F Schulz

https://doi.org/10.1002/14651858.CD006134.pub4

2009 Apr 15

Oral contraceptives for functional ovarian cysts

Review

David A Grimes, LaShawn B. Jones, Laureen M Lopez, Kenneth F Schulz

https://doi.org/10.1002/14651858.CD006134.pub3

2006 Oct 18

Oral contraceptives for functional ovarian cysts

Review

David A Grimes, LaShawn B. Jones, Laureen M Lopez, Kenneth F Schulz

https://doi.org/10.1002/14651858.CD006134.pub2

2006 Jul 19

Oral contraceptives for functional ovarian cysts

Protocol

David A Grimes, LaShawn B. Jones, Laureen M Lopez, Kenneth F Schulz

https://doi.org/10.1002/14651858.CD006134

Keywords

MeSH

PICOs

Population
Intervention
Comparison
Outcome

The PICO model is widely used and taught in evidence-based health care as a strategy for formulating questions and search strategies and for characterizing clinical studies or meta-analyses. PICO stands for four different potential components of a clinical question: Patient, Population or Problem; Intervention; Comparison; Outcome.

See more on using PICO in the Cochrane Handbook.

Comparison 1 Norethindrone 1 mg plus mestranol 50 μg daily versus expectant management, Outcome 1 Resolution of cyst within nine weeks.
Figures and Tables -
Analysis 1.1

Comparison 1 Norethindrone 1 mg plus mestranol 50 μg daily versus expectant management, Outcome 1 Resolution of cyst within nine weeks.

Comparison 2 Desogestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by last follow up (10 or 12 weeks).
Figures and Tables -
Analysis 2.1

Comparison 2 Desogestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by last follow up (10 or 12 weeks).

Comparison 3 Desogestrel 150 μg plus ethinyl estradiol 20 μg taken daily versus expectant management, Outcome 1 Resolution of cyst by six months.
Figures and Tables -
Analysis 3.1

Comparison 3 Desogestrel 150 μg plus ethinyl estradiol 20 μg taken daily versus expectant management, Outcome 1 Resolution of cyst by six months.

Comparison 4 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by 12 weeks.
Figures and Tables -
Analysis 4.1

Comparison 4 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by 12 weeks.

Comparison 5 Levonorgestrel 125 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst within one menstrual cycle.
Figures and Tables -
Analysis 5.1

Comparison 5 Levonorgestrel 125 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst within one menstrual cycle.

Comparison 6 Levonorgestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by last follow up (second or third month).
Figures and Tables -
Analysis 6.1

Comparison 6 Levonorgestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by last follow up (second or third month).

Comparison 6 Levonorgestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management, Outcome 2 Cyst volume after third month.
Figures and Tables -
Analysis 6.2

Comparison 6 Levonorgestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management, Outcome 2 Cyst volume after third month.

Comparison 7 Levonorgestrel 250 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by 10 weeks.
Figures and Tables -
Analysis 7.1

Comparison 7 Levonorgestrel 250 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by 10 weeks.

Comparison 8 Levonorgestrel 50/75/125 μg plus ethinyl estradiol 30/40/30 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by 10 weeks.
Figures and Tables -
Analysis 8.1

Comparison 8 Levonorgestrel 50/75/125 μg plus ethinyl estradiol 30/40/30 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by 10 weeks.

Comparison 9 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus desogestrel 150 μg plus ethinyl estradiol 30 μg, Outcome 1 Regression of cyst by 4 weeks.
Figures and Tables -
Analysis 9.1

Comparison 9 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus desogestrel 150 μg plus ethinyl estradiol 30 μg, Outcome 1 Regression of cyst by 4 weeks.

Comparison 9 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus desogestrel 150 μg plus ethinyl estradiol 30 μg, Outcome 2 Regression of cyst by 12 weeks.
Figures and Tables -
Analysis 9.2

Comparison 9 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus desogestrel 150 μg plus ethinyl estradiol 30 μg, Outcome 2 Regression of cyst by 12 weeks.

Comparison 10 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus placebo, Outcome 1 Regression of cyst by 4 weeks.
Figures and Tables -
Analysis 10.1

Comparison 10 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus placebo, Outcome 1 Regression of cyst by 4 weeks.

Comparison 10 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus placebo, Outcome 2 Regression of cyst by 12 weeks.
Figures and Tables -
Analysis 10.2

Comparison 10 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus placebo, Outcome 2 Regression of cyst by 12 weeks.

Comparison 1. Norethindrone 1 mg plus mestranol 50 μg daily versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst within nine weeks Show forest plot

1

41

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figures and Tables -
Comparison 1. Norethindrone 1 mg plus mestranol 50 μg daily versus expectant management
Comparison 2. Desogestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst by last follow up (10 or 12 weeks) Show forest plot

2

76

Odds Ratio (M‐H, Fixed, 95% CI)

1.52 [0.46, 5.00]

Figures and Tables -
Comparison 2. Desogestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management
Comparison 3. Desogestrel 150 μg plus ethinyl estradiol 20 μg taken daily versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst by six months Show forest plot

1

141

Odds Ratio (M‐H, Fixed, 95% CI)

0.62 [0.27, 1.42]

Figures and Tables -
Comparison 3. Desogestrel 150 μg plus ethinyl estradiol 20 μg taken daily versus expectant management
Comparison 4. Levonorgestrel 100 μg plus ethinyl estradiol 20 μg taken cyclically versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst by 12 weeks Show forest plot

1

42

Odds Ratio (M‐H, Fixed, 95% CI)

1.71 [0.45, 6.51]

Figures and Tables -
Comparison 4. Levonorgestrel 100 μg plus ethinyl estradiol 20 μg taken cyclically versus expectant management
Comparison 5. Levonorgestrel 125 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst within one menstrual cycle Show forest plot

1

54

Odds Ratio (M‐H, Fixed, 95% CI)

0.72 [0.14, 3.57]

Figures and Tables -
Comparison 5. Levonorgestrel 125 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management
Comparison 6. Levonorgestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst by last follow up (second or third month) Show forest plot

2

112

Odds Ratio (M‐H, Fixed, 95% CI)

1.19 [0.54, 2.60]

2 Cyst volume after third month Show forest plot

1

45

Mean Difference (IV, Fixed, 95% CI)

3.20 [‐0.87, 7.27]

Figures and Tables -
Comparison 6. Levonorgestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management
Comparison 7. Levonorgestrel 250 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst by 10 weeks Show forest plot

1

34

Odds Ratio (M‐H, Fixed, 95% CI)

3.18 [0.12, 83.76]

Figures and Tables -
Comparison 7. Levonorgestrel 250 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management
Comparison 8. Levonorgestrel 50/75/125 μg plus ethinyl estradiol 30/40/30 μg taken cyclically versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst by 10 weeks Show forest plot

1

35

Odds Ratio (M‐H, Fixed, 95% CI)

3.36 [0.13, 88.39]

Figures and Tables -
Comparison 8. Levonorgestrel 50/75/125 μg plus ethinyl estradiol 30/40/30 μg taken cyclically versus expectant management
Comparison 9. Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus desogestrel 150 μg plus ethinyl estradiol 30 μg

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Regression of cyst by 4 weeks Show forest plot

1

124

Odds Ratio (M‐H, Fixed, 95% CI)

1.15 [0.55, 2.38]

2 Regression of cyst by 12 weeks Show forest plot

1

124

Odds Ratio (M‐H, Fixed, 95% CI)

1.41 [0.55, 3.64]

Figures and Tables -
Comparison 9. Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus desogestrel 150 μg plus ethinyl estradiol 30 μg
Comparison 10. Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus placebo

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Regression of cyst by 4 weeks Show forest plot

1

124

Odds Ratio (M‐H, Fixed, 95% CI)

0.93 [0.44, 1.95]

2 Regression of cyst by 12 weeks Show forest plot

1

124

Odds Ratio (M‐H, Fixed, 95% CI)

1.27 [0.49, 3.32]

Figures and Tables -
Comparison 10. Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus placebo