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Beyond Stereotypes: Who Becomes a Single Teenage Mother?
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1988
Year
NutritionSingle Teenage MotherHormonal ContraceptiveTeenage PregnancyOral ContraceptiveReproductive HealthGlucose ToleranceSocial SciencesMetabolic SyndromeContraceptionGender IdentityGender StudiesHun EngHormonal Male ContraceptionCombined OcsEndocrinologyPharmacologyOvarian HormoneDiabetesSociologyMedicineWomen's Health
The effect of low-dose combined oral contraceptives (OCs) on glucose tolerance lipid metabolism and liver functions was investigated in 166 women. 69 women were taking a combination of 1 mg norethisterone + 35 mcg ethinyl estradiol (NET/EE) 65 were taking 150 mcg levonorgestrel + 30 ug ethinyl estradiol (LNG/EE) for 12 cycles and 32 had an IUD inserted (control group). Glucose tolerance seemed to be impaired after 3 months use and those exhibiting diabetic values were excluded from the study. The serum triglycerides and total cholesterol levels were elevated and HDL-cholesterol decreased in both pill groups. The shifts were more pronounced and longer lasting in the NET/EE group. There was a positive correlation between the changes in glucose and lipid metabolism. Contrary to expectations liver enzymes and bilirubin exhibited a decrease during OC use as did total protein and albumin levels. These observations draw attention to the fact that metabolic changes are induced by combined OCs even in the lowest possible dosage. However this does not necessarily mean increased morbidity in healthy women. (authors modified) (summaries in HUN ENG)