Progestogen-only pills and bleeding disturbances.

@article{Kovacs1996ProgestogenonlyPA,
  title={Progestogen-only pills and bleeding disturbances.},
  author={Gabor Thomas Kovacs},
  journal={Human reproduction},
  year={1996},
  volume={11 Suppl 2},
  pages={
          20-3
        }
}
  • G. Kovacs
  • Published 1 October 1996
  • Medicine
  • Human reproduction
The progestogen-only pill (POP), minipill, is quite an effective second line contraceptive. Despite this, it is used relatively infrequently except during lactation. The main reason for this is that women on POP often have abnormal bleeding patterns, with an increased frequency of bleeding, lengthened cycles, breakthrough bleeding, spotting and prolonged bleeding. These menstrual disturbances are the most common quoted reason for discontinuation in up to 25% of users. 
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TLDR
Although the precise mechanism of action of minidose progestogens is not known it seems to have rapid contraceptive effects and the onset of action and duration of effect are thought to be fairly critical during the early months.
Clinical experience with microdose D-norgestrel as an oral contraceptive.
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It is not possible to say whether or not POPs have any adverse effect on the risk of developing cardiovascular disorders but it should be stressed that studies of the metabolic effects of POPs suggest that they are in fact likely to be safer in this respect than combined preparations.
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  • Medicine
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