Health Condition 1: E00-E89- Endocrine, nutritional and metabolic diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: A diagnosis of PCOS according to the modified 2003 Rotterdam diagnostic criteria
Exclusion criteria
Exclusion criteria: -Patients with contraindications to the use of COCs, according to MEC categories 3 and 4. -Smoker -Pregnancy -History of hysterectomy or bilateral salpingo-oophorectomy -Previous chemotherapy or radiation therapy -Recent use of hormonal drugs within the past 2 months -Use of medications that reduce the effectiveness of oral contraceptives (such as Rifampicin, Rifabutin, Barbiturates, Carbamazepine, Lamotrigine, Oxcarbazepine, Phenytoin, Primidone, and Topiramate) -Abnormalities of the pituitary gland (including hyperprolactinemia and adenoma) -Other ovarian disorders such as premature ovarian failure -Diabetes -Abnormal thyroid function -Patients who have undergone gastric bypass surgery for obesity -Patients receiving insulin sensitizer drugs such as metformin -Patients receiving treatment for dyslipidemia -Patients have the intention to reduce weight -Patients receiving treatment with GLP-1 receptor agonist
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| -To compare the effect between combined oral contraceptives (COCs) containing Estetrol (E4) 15 mg/ drospirenone (DRSP) 3 mg and ethinyl estradiol (EE) 30 mcg/DRSP 3 mg on glucose tolerance(2 hour 75 gm OGTT) in patients with polycystic ovarian syndrome (PCOS).Timepoint: At baseline 3 months after exposures 2 months after washout peroid 3 months after cross-over exposures | — |
Secondary
| Measure | Time frame |
|---|---|
| -To compare the effects of different COCs on insulin levels in patients with PCOS. Timepoint: At baseline 3 months after exposures 2 months after washout peroid 3 months after cross-over exposures ;-To compare the effects of different COCs on menstrual patterns according to FIGO 2018(30) in patients with PCOS. Timepoint: At baseline and every months until 8 months | — |
Countries
Thailand
Contacts
Prince of Songkhla University