Mechanisms that explain the contraceptive action of progestin implants for women

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81 Citations (Scopus)

Abstract

Four different contraceptive implants for women, in the form of capsules or covered rods, that release either one of the synthetic progestins levonorgestrel, etonogestrel, Nestorone, or Elcometrine and nomegestrol acetate were considered. These progestins act by binding to their receptors located in diverse target cells, which are distributed along the hypothalamic-pituitary-gonadal-genital tract axis. These implants differ in the extent to which each one interferes with various steps of the reproductive process and in the intensity with which each one affects the same process along its effective life, but they have in common the ability to interfere with several key processes required for gamete encounter and fertilization. The steps they interfere with most are the ovulatory process, through partial or complete inhibition of the gonadotropin surge, and by changing the quality of cervical mucus; they restrict or suppress the access of fertile spermatozoa to the site of fertilization. Changes in endometrial development also occur, but this contribution to the contraceptive action is difficult to determine at the present time.

Original languageEnglish
Pages (from-to)21-27
Number of pages7
JournalContraception
Volume65
Issue number1
DOIs
Publication statusPublished - 2002

Keywords

  • Contraceptive implant
  • Etonogestrel
  • Levonorgestrel
  • Mode of action
  • Nestorone
  • Nomegestrol acetate

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynaecology
  • Reproductive Medicine

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