Abstract:
:A study of the effect of a low-dose oral contraceptive, Adepal (ethinyl estradiol and levonorgestrel, 30 and 150 micrograms on the 5th to 12th, 40 and 200 micrograms on the 13th to 28th, respectively) on the blood lipids, lipoproteins and fatty acid composition has been conducted on 13 young women before and after six months of treatment. All together, total cholesterol concentration did not vary; however, the high cholesterol values decreased whereas the low cholesterol values increased with the pill. Triglyceride levels increased significantly (p less than 0.001). High density lipoprotein (HDL)-cholesterol decreased clearly (p less than 0.001) regardless of the cholesterol value at the beginning; low and very low density lipoprotein (LDL + VLDL)-cholesterol increased slightly, as well as the apoprotein B (Apo B) concentration (p less than 0.05). The lipoprotein electrophoresis showed intermediate bands (IDL) in 5/12 of the women after treatment. The three major classes of lipoprotein showed some variations in the fatty acid composition after the oral contraceptive; in any lipid class from any lipoprotein, the linoleic (18: 1 omega 6), arachidonic (20: 4 omega 6) and eicosapentaenoic (20: 5 omega 3) acids decreased whereas the palmitic (16: 0) and oleic (18: 1 omega 9) acids increased. Our results suggest that a low-dose contraceptive like Adepal produces, nevertheless, some significative modifications of plasma lipids and lipoproteins. :A study of the effect of a low-dose oral contraceptive (OC; Adepal--ethinyl estradiol and levonorgestrel), given in doses of 30 and 150 mcg on days 5-12, 40 and 200 mcg on days 13-28, on blood lipids, lipoproteins, and fatty acid composition has been conducted on 13 young women before and after 6 months of treatment. All together, total cholesterol concentration did not vary; however, the high cholesterol values decreased whereas the low cholesterol values increased with the pill. Triglyceride levels increased significantly (p0.001). High density lipoprotein-cholesterol decreased clearly (p0.001), regardless of the cholesterol value at the beginning; low and very low density lipoprotein-cholesterol increased slightly, as well as the apoprotein B concentration (p0.05). The lipoprotein electrophoresis showed intermediate bands in 5/12 of the women after treatment. The 3 major classes of lipoprotein showed some variations in the fatty acid composition after the OC; in any lipid class from any lipoprotein, the linoleic acid (18: 1 omega 6), arachidonic (20: 4 omega 6), and eicosapentaenoic (20: 5 omega 3) acids decreased whereas the palmitic (16: 0) and oleic (18: 1 omega 9) acids increased. Results suggest that a low-dose contraceptive like Adepal produces, nevertheless, some significant modifications in plasma lipids and lipoproteins.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Sassolas A,Lagarde M,Guichardant M,Quincy C,Dechavanne Mdoi
10.1016/0010-7824(83)90038-0subject
Has Abstractpub_date
1983-10-01 00:00:00pages
357-68issue
4eissn
0010-7824issn
1879-0518pii
0010-7824(83)90038-0journal_volume
28pub_type
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