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Table 4 Influence of different combined oral contraceptive formulations in the hyperandrogenemic biomarkers of polycystic ovary syndrome

From: Risks, benefits size and clinical implications of combined oral contraceptive use in women with polycystic ovary syndrome

COC formulation

Number of studies

Before

Md (1st – 3rd)

After

Md (1st – 3rd)

∆

p*

SHBG (nmol/l)

 EE 35 μg / CPA 2 mg

12

37.3 (32.7–52.9)

179.0 (122.1–235.7)

+141.7

0.002

 EE 30 μg / DRSP 3 mg

15

35.8 (29.9–45.3)

140.8 (62.8–180.0)

+105.0

<0.001

 EE 30 μg / CMA 2 mg

06

38.8 (27.0–42.9)

181.9 (140.0–217.9)

+143.1

0.027

 EE 30 μg / DSG 75–150 μg

05

30.0 (22.5–30.0)

76.0 (60–129)

+46.0

0.043

 EE 30 μg / GSD 75 μg

02

21.7 (17.5–26.0)

109.2 (87–131.0)

+65.4

0.049

Total T (ng/dl)

 EE 35 μg / CPA 2 mg

11

79.5 (31.2–100.0)

46.9 (30.0–66.1)

−32.5

0.003

 EE 30 μg / DRSP 3 mg

15

66.5 (60.0–86.4)

48.9 (39.0–55.0)

−17.6

<0.001

 EE 30 μg / CMA 2 mg

05

78.0 (73.4–84.1)

41.9 (45.8–60.3)

−36.1

0.043

 EE 30 μg / DSG 75–150 μg

07

52.3 (44.0–67.4)

36.1 (31.0–42.0)

−16.2

0.027

 EE 30 μg / GSD 75 μg

02

72.7 (64.4–81.0)

51.8 (47.5–56.0)

19.9

0.179

Free T (pmol/l)

 EE 35 μg / CPA 2 mg

07

4.3 (2.8–8.8)

2.4 (1.5–5.9)

−1.9

0.011

 EE 30 μg / DRSP 3 mg

05

2.2 (2.2–2.4)

1.9 (1.1–1.96)

−0.3

0.043

 EE 30 μg / CMA 2 mg

05

7.8 (6.1–7.9)

4.2 (3.8–4.7)

−3.6

0.043

 EE 30 μg / DSG 150 μg

04

2.6 (1.6–6.8)

1.4 (1.0–1.7)

−1.2

0.067

FAI (%)

 EE 35 μg / CPA 2 mg

07

10.2 (5.4–11.5)

2.1 (0.8–2.8)

−8.0

0.042

 EE 30 μg / DRSP 3 mg

14

6.8 (5.1–9.3)

1.2 (0.9–4.2)

−5.6

0.001

 EE 30 μg / CMA 2 mg

05

9.4 (7.9–9.7)

0.9 (0.9–0.94)

−8.5

0.043

 EE 30 μg / DSG 75–150 μg

05

4.8 (3.0–6.4)

0.7 (0.6–0.74)

−4.1

0.043

  1. COC combined oral contraceptive, Md (1st -3rd) median, first and third quartiles, EE ethinylestradiol, CPA cyproterone acetate, DRSP drospirenone, CMA chlormadinone acetate, DSG desogestrel, GSD gestodene, SHBG sex-hormone binding globulin, T testosterone, FAI free androgen index
  2. p* Wilcoxon signed- ranks test