Priority 17 from the Contraception PSP
| UNCERTAINTY: Are there factors (ethnicity, past experience) that can predict who is at risk of irregular bleeding when using hormonal contraception (progestogen only or combined)? (JLA PSP Priority 17) | |
|---|---|
| Overall ranking | 17 |
| JLA question ID | 0049/17 |
| Explanatory note | The systematic reviews evaluate the risk of side effects with CHC and treatment for irregular bleeding with progestogen only methods. The interventions themselves maybe a factor in the risk of bleeding but the questions is about the patient factors which may influence this, which is not directly addressed by either review. |
| Evidence |
Types of progestogens in combined oral contraception: effectiveness and side-effects.Theresa A Lawrie , Frans M Helmerhorst , Nandita K. Maitra , Regina Kulier , Kitty Bloemenkamp and A Metin Gülmezoglu. May 2011 Treatment of vaginal bleeding irregularities induced by progestin only contraceptivesHany Abdel‐Aleem, Catherine d'Arcangues, Kirsten M Vogelsong, Mary Lyn Gaffield, A Metin Gülmezoglu. October 2013 |
| Health Research Classification System category | Reproductive Health and Childbirth |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples |
“I don't tolerate progesterone only contraception e.g. mini pill, injection, implant - what is it in these that causes me to constantly bleed?” (patient) ~ “Is there a way to predict bleeding patterns for particular women or to extrapolate from previously-used contraception?” (HCP) |
| Submitted by | Healthcare Professionals x 4~Patients x 1~Both x 0 |
| PSP information | |
|---|---|
| PSP unique ID | 0049 |
| PSP name | Contraception |
| Total number of uncertainties identified by this PSP. | 57 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 21 April 2017 |