Comparative Study of Abnormal Uterine Bleeding in different Progestin-only pills in Breast-Feeding Females
Elsawy, I., Abdelaziz, B., Keshk, A. (2025). Comparative Study of Abnormal Uterine Bleeding in different Progestin-only pills in Breast-Feeding Females. EKB Journal Management System, 2025(3), 180-184. doi: https://doi.org/10.21608/aimj.2025.446484
Ibrahim Ramadan Elsawy; Bassem Ragab Abdelaziz; Abdul-Rahman Azmy Mohamed Keshk. "Comparative Study of Abnormal Uterine Bleeding in different Progestin-only pills in Breast-Feeding Females". EKB Journal Management System, 2025, 3, 2025, 180-184. doi: https://doi.org/10.21608/aimj.2025.446484
Elsawy, I., Abdelaziz, B., Keshk, A. (2025). 'Comparative Study of Abnormal Uterine Bleeding in different Progestin-only pills in Breast-Feeding Females', EKB Journal Management System, 2025(3), pp. 180-184. doi: https://doi.org/10.21608/aimj.2025.446484
Elsawy, I., Abdelaziz, B., Keshk, A. Comparative Study of Abnormal Uterine Bleeding in different Progestin-only pills in Breast-Feeding Females. EKB Journal Management System, 2025; 2025(3): 180-184. doi: https://doi.org/10.21608/aimj.2025.446484

Comparative Study of Abnormal Uterine Bleeding in different Progestin-only pills in Breast-Feeding Females

Al-Azhar International Medical Journal
Volume 2025, Issue 3, March 2025, Page 180-184  XML PDF (332.52 K)
Document Type: Original Article
DOI: https://doi.org/10.21608/aimj.2025.446484
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Authors
Ibrahim Ramadan Elsawy1; Bassem Ragab Abdelaziz2; Abdul-Rahman Azmy Mohamed Keshk* 3
1Associate Professor of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2Lecturer of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3MBBCh., Faculty of Medicine, Al-Azhar University, Cairo, Egypt
Abstract
 
Background: Better management of pregnancy spacing is achieved with postpartum contraception, which is crucial for the health of the mother and child. Resuming ovulation prevention measures is the ideal first step. Because ovulation can happen before a woman's menstrual cycle resumes, using the right methods and timing for contraception is essential.
Aim and objectives: In order to evaluate and contrast the efficacy of progestin-only pills (POPs) in causing uterine haemorrhage in nursing mothers.
Patients and methods: From January 2024 to November 2024, 300 patients were observed in the Obstetrics and Gynaecology department of Al-Azhar University in Cairo at family planning clinics, Al-Hussein and Sayed Galal hospitals.
Results: All three medications are effective, with no statistically significant differences in hemostatic duration or failure rates. Levonorgestrel showed a mean treatment duration of 7 days, Drosprinone 8 days, and Desogestrel 11 days. While Desogestrel required a longer treatment period, which could potentially impact patient compliance, it demonstrated a 0% failure rate along with Drosprinone. Levonorgestrel had a slightly higher failure rate of 1%, though this difference was not statistically significant.
Conclusion: All three treatment modalities were effective in reducing abnormal uterine bleeding and improving Hb levels. Furthermore, the distribution of age, parity, previous contraceptive methods, and side effects was comparable among the treatment groups.
 
Keywords
Uterine bleeding; Breast-feeding; Progestin-only pills
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