Record Information |
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Version | 2.0 |
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Creation Date | 2014-09-11 05:14:30 UTC |
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Update Date | 2014-12-24 20:26:56 UTC |
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Accession Number | T3D4745 |
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Identification |
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Common Name | Norethindrone |
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Class | Small Molecule |
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Description | A synthetic progestational hormone with actions similar to those of progesterone but functioning as a more potent inhibitor of ovulation. It has weak estrogenic and androgenic properties. The hormone has been used in treating amenorrhea, functional uterine bleeding, endometriosis, and for contraception. |
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Compound Type | - Contraceptive, Oral, Synthetic
- Drug
- Ester
- Metabolite
- Organic Compound
- Synthetic Compound
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Chemical Structure | |
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Synonyms | Synonym | (17-alpha)-17-Hydroxy-19-norpregn-4-en-20-yn-3-one | (17alpha)-17-Ethynyl-17-hydroxyestra-4,8(14),9-trien-3-one | 17-alpha-Ethynyl-17-beta-hydroxy-4-estren-3-one | 17-alpha-Ethynyl-17-hydroxy-4-estren-3-one | 17-alpha-Ethynyl-19-norandrost-4-en-17-beta-ol-3-one | 17-alpha-Ethynyl-19-nortestosterone | 17-alpha-Ethynyl-4-estren-17-ol-3-one | 17-beta-Hydroxy-19-norpregn-4-en-20-yn-3-one | 17-Ethinyl-19-nor-testosterone | 17-Ethynyl-17-hydroxyestr-4-en-3-one | 17-Ethynyl-17beta-hydroxyestr-4-en-3-one | 17-Ethynyl-19-Nortestosterone | 17-Hydroxy-(17alpha)-19-Norpregn-4-en-20-yn-3-one | 17-Hydroxy-17-alpha-19-Norpregn-4-en-20-yn-3-one | 17-Hydroxy-19-nor-17-alpha-pregn-4-en-20-yn-3-one | 17-Hydroxy-19-Nor-17alpha-pregn-4-en-20-yn-3-one | 17alpha-Ethinyl-17alpha-Ethinyl-19-nortestosterone | 17alpha-Ethinyl-19-Nortestosterone | 17alpha-Ethinylestra-4-en-17beta-ol-3-one | 17alpha-Ethynyl-17-hydroxy-4-estren-3-one | 17alpha-ethynyl-17-hydroxy-Estr-4-en-3-one | 17alpha-Ethynyl-17-hydroxyest-4-en-3-one | 17alpha-Ethynyl-17beta-hydroxy-19-norandrost-4-en-3-one | 17alpha-Ethynyl-17beta-hydroxyestr-4-en-3-one | 17alpha-Ethynyl-19-nor-4-androsten-17beta-ol-3-one | 17alpha-Ethynyl-19-norandrost-4-en-17beta-ol-3-one | 17alpha-Ethynyl-19-nortestosterone | 17alpha-Ethynyl-3-oxo-4-estren-17beta-ol | 17alpha-Ethynyl-4-estren-17-ol-3-one | 17alpha-pregn-4-en-20-yn-3-one | 17beta-Hydroxy-17alpha-ethynylestr-4-en-3-one | 17beta-Hydroxy-19-norpregn-4-en-20-yn-3-one | 17α-ethinyl-19-nortestosterone | 19-Nor-17-alpha-ethynyl-17-beta-hydroxy-4-androsten-3-one | 19-Nor-17-alpha-ethynylandrosten-17-beta-ol-3-one | 19-Nor-17-alpha-ethynyltestosterone | 19-Nor-17-ethinyltestosterone | 19-Nor-17alpha-Ethynyl-17beta-hydroxy-4-androsten-3-one | 19-Nor-17alpha-Ethynylandrosten-17beta-ol-3-one | 19-Nor-17alpha-ethynyltestosterone | 19-nor-17α-ethynyltestosterone | 19-Nor-ethindrone | 19-Norethinyltestosterone | 19-Norethisterone | 4-Estren-17alpha-ethynyl-17beta-ol-3-one | Anhydrohydroxynorprogesterone | Anovule | Aygestin | Camila | Conludaf | Conludag | ENT | Errin | Ethinyl-19-nortestosterone | Ethinylnortestosterone | Ethynylnortestosterone | Gestest | HEATHER | Jencycla | Jolivette | LYZA | Menzol | Micronett | Micronor | Micronovum | Mini-Pe | Mini-pill | Minovlar | NET | Nor-Q.D. | Nor-QD | Noralutin | Norcolut | Noresthisterone | Norethisteron | Norethisterone | Norethisteronum | Norethyndron | Norethynodrone | Noretisterona | Norfor | Norgestin | Noriday | Norlutate | Norluten | Norlutin | Norluton | NORLYROC | Normapause | Norpregneninlone | Norpregneninolone | Primolut N | Primolut-N | Proluteasi | Utovlan | Utovlar |
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Chemical Formula | C20H26O2 |
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Average Molecular Mass | 298.419 g/mol |
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Monoisotopic Mass | 298.193 g/mol |
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CAS Registry Number | 68-22-4 |
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IUPAC Name | (1S,2R,10R,11S,14R,15S)-14-ethynyl-14-hydroxy-15-methyltetracyclo[8.7.0.0^{2,7}.0^{11,15}]heptadec-6-en-5-one |
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Traditional Name | (1S,2R,10R,11S,14R,15S)-14-ethynyl-14-hydroxy-15-methyltetracyclo[8.7.0.0^{2,7}.0^{11,15}]heptadec-6-en-5-one |
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SMILES | [H][C@@]12CC[C@@](O)(C#C)[C@@]1(C)CC[C@]1([H])[C@@]3([H])CCC(=O)C=C3CC[C@@]21[H] |
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InChI Identifier | InChI=1S/C20H26O2/c1-3-20(22)11-9-18-17-6-4-13-12-14(21)5-7-15(13)16(17)8-10-19(18,20)2/h1,12,15-18,22H,4-11H2,2H3/t15-,16+,17+,18-,19-,20-/m0/s1 |
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InChI Key | InChIKey=VIKNJXKGJWUCNN-XGXHKTLJSA-N |
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Chemical Taxonomy |
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Description | belongs to the class of organic compounds known as estrogens and derivatives. These are steroids with a structure containing a 3-hydroxylated estrane. |
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Kingdom | Organic compounds |
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Super Class | Lipids and lipid-like molecules |
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Class | Steroids and steroid derivatives |
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Sub Class | Estrane steroids |
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Direct Parent | Estrogens and derivatives |
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Alternative Parents | |
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Substituents | - Estrogen-skeleton
- 3-oxo-delta-4-steroid
- 3-oxosteroid
- 17-hydroxysteroid
- Oxosteroid
- Hydroxysteroid
- Delta-4-steroid
- Cyclohexenone
- Ynone
- Cyclic alcohol
- Tertiary alcohol
- Cyclic ketone
- Ketone
- Acetylide
- Organic oxygen compound
- Hydrocarbon derivative
- Organic oxide
- Carbonyl group
- Alcohol
- Organooxygen compound
- Aliphatic homopolycyclic compound
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Molecular Framework | Aliphatic homopolycyclic compounds |
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External Descriptors | - terminal acetylenic compound (CHEBI:7627 )
- tertiary alcohol (CHEBI:7627 )
- 3-oxo Delta(4)-steroid (CHEBI:7627 )
- 17beta-hydroxy steroid (CHEBI:7627 )
- Pregnane and derivatives [Fig] (C05028 )
- C21 steroids (gluco/mineralocorticoids, progestogens) and derivatives (C05028 )
- C21 steroids (gluco/mineralocorticoids, progestogins) and derivatives (LMST02030097 )
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Biological Properties |
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Status | Detected and Not Quantified |
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Origin | Exogenous |
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Cellular Locations | - Cytoplasm
- Extracellular
- Membrane
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Biofluid Locations | Not Available |
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Tissue Locations | Not Available |
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Pathways | Not Available |
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Applications | Not Available |
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Biological Roles | Not Available |
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Chemical Roles | Not Available |
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Physical Properties |
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State | Solid |
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Appearance | White powder. |
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Experimental Properties | Property | Value |
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Melting Point | 203.5°C | Boiling Point | Not Available | Solubility | 7.04 mg/L (at 25°C) | LogP | 2.97 |
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Predicted Properties | |
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Spectra |
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Spectra | Spectrum Type | Description | Splash Key | Deposition Date | View |
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Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (Non-derivatized) - 70eV, Positive | splash10-00w9-0690000000-7050c3192b843aecc482 | 2017-09-01 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (1 TMS) - 70eV, Positive | splash10-052f-1369000000-cfce41c0dca4a0c3cd9c | 2017-10-06 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (Non-derivatized) - 70eV, Positive | Not Available | 2021-10-12 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-qTof , Positive | splash10-0002-0391000000-ae51cc90bb8f2161f149 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-qTof , Positive | splash10-0j59-2494000000-76c71f96c07e87ef8962 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-0a4i-1910000000-f3f4bbf8cfe62ee9f76d | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-0a5c-3900000000-4b2a5d95e4b6d50f16fc | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-00ea-0790000000-60d1a1a37c0ba98d6a4a | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-00e9-0890000000-5d3b8210450a1c43b119 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - , positive | splash10-0002-0391000000-ae51cc90bb8f2161f149 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - , positive | splash10-0ar0-3920000000-e31fa7c9e871f2e39846 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 30V, Positive | splash10-001j-0930000000-9c2fc72a1b360913fb56 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 40V, Positive | splash10-005c-0910000000-ef775abfdf43d67a4225 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 80V, Positive | splash10-0a5c-3900000000-11a6390c5bc543829135 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 20V, Positive | splash10-0002-0391000000-7b2e411df9eccc111c8e | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 10V, Positive | splash10-0002-0091000000-3a83c5fc59fdaea61231 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 55V, Positive | splash10-0a4i-1910000000-f3f4bbf8cfe62ee9f76d | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 35V, Positive | splash10-00ea-0790000000-1844e6f664d23868bbab | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 50V, Positive | splash10-004l-0900000000-623cab7c657eda4d2f5f | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 15V, Positive | splash10-0002-0090000000-412f7f0b9259fe759372 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 55V, Positive | splash10-00e9-0890000000-d8c560fa1ac40e4ba22f | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 45V, Positive | splash10-0a59-2910000000-7b16e32a71f6c1df6d1e | 2021-09-20 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 10V, Positive | splash10-0002-0090000000-ec79e2d15a020c198dde | 2016-08-03 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 20V, Positive | splash10-001m-0290000000-b8f5efd6d7713f50f65c | 2016-08-03 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 40V, Positive | splash10-0l5l-2980000000-14cb82df2a3c251f955e | 2016-08-03 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 10V, Negative | splash10-0002-0090000000-eab48ea9142da299d923 | 2016-08-03 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 20V, Negative | splash10-0002-0090000000-64471e6cc8b0f3e495b5 | 2016-08-03 | View Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 40V, Negative | splash10-00l6-0090000000-ccad820f0e5b5559e8e8 | 2016-08-03 | View Spectrum | MS | Mass Spectrum (Electron Ionization) | splash10-01rt-4950000000-fcbe8bf03b1aa103152b | 2014-09-20 | View Spectrum | 1D NMR | 1H NMR Spectrum (1D, 400 MHz, CDCl3, experimental) | Not Available | 2014-09-20 | View Spectrum |
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Toxicity Profile |
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Route of Exposure | Norethindrone acetate is completely and rapidly deacetylated to norethindrone (NET) after oral administration, and the disposition of norethindrone acetate is indistinguishable from that of orally administered norethindrone. Norethindrone is rapidly absorbed from norethindrone acetate, in which maximum plasma concentration occur 2 hours post-dose (Tmax). When a single dose is given to healthy women, the Cmax is 26.19 Њ± 6.19 hours. The AUC (0-inf) is 166.90 Њ± 56.28 ng/mL*h. Absolute oral bioavailability is approximately 64%. The effect of food on the pharmacokinetics of norethindrone acetate is unknown. |
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Mechanism of Toxicity | Progestins diffuse freely into target cells and bind to the progesterone receptor. Target cells include the female reproductive tract, the mammary gland, the hypothalamus, and the pituitary. Once bound to the receptor, progestins slow the frequency of release of gonadotropin releasing hormone (GnRH) from the hypothalamus and blunt the pre-ovulatory LH surge. |
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Metabolism | Hepatic. Norethindrone is extensively metabolized, primarily via reduction. It also undergoes sulfate and glucuronide conjugation. The majority of metabolites in the circulation are sulfates, with glucuronides accounting for most of the urinary metabolites.
Route of Elimination: Norethindrone is excreted in both urine and feces, primarily as metabolites.
Half Life: 8.51±2.19 (when a single dose is given to healthy women) |
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Toxicity Values | Not Available |
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Lethal Dose | Not Available |
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Carcinogenicity (IARC Classification) | 2B, possibly carcinogenic to humans. (18) |
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Uses/Sources | Norethindrone acetate is indicated for the treatment of secondary amenorrhea, endometriosis, and abnormal uterine bleeding due to hormonal imbalance in the absence of organic pathology, such as submucous fibroids or uterine cancer. |
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Minimum Risk Level | Not Available |
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Health Effects | Not Available |
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Symptoms | Not Available |
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Treatment | Not Available |
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Normal Concentrations |
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| Not Available |
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Abnormal Concentrations |
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External Links |
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DrugBank ID | DB00717 |
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HMDB ID | HMDB14855 |
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PubChem Compound ID | 6230 |
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ChEMBL ID | CHEMBL1162 |
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ChemSpider ID | 5994 |
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KEGG ID | C05028 |
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UniProt ID | Not Available |
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OMIM ID | |
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ChEBI ID | 7627 |
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BioCyc ID | Not Available |
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CTD ID | Not Available |
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Stitch ID | Not Available |
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PDB ID | NDR |
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ACToR ID | Not Available |
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Wikipedia Link | Norethindrone |
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References |
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Synthesis Reference | Not Available |
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MSDS | Link |
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General References | - Knox SA, Viney RC, Gu Y, Hole AR, Fiebig DG, Street DJ, Haas MR, Weisberg E, Bateson D: The effect of adverse information and positive promotion on women's preferences for prescribed contraceptive products. Soc Sci Med. 2013 Apr;83:70-80. doi: 10.1016/j.socscimed.2012.12.025. Epub 2013 Jan 5. [23351426 ]
- Karkar A: Pregnancy and contraceptive issues in renal transplant recipients. Saudi J Kidney Dis Transpl. 2008 Mar;19(2):165-73. [18310862 ]
- Debski R, Kotarski J, Paszkowski T, Pawelczyk L, Skrzypulec V, Tomaszewski J: [The statement of Polish Gynecological Society experts on oral use of contraceptive 75 microg desogestrel minipill in different clinical cases--state of art in 2008]. Ginekol Pol. 2009 Jan;80(1):63-75. [19323063 ]
- Rabe T, Grunwald K, Runnebaum B: [Future prospects in contraception]. Arch Gynecol Obstet. 1995;257(1-4):541-7. [8579440 ]
- Tscherne G: [Benefits and risks of hormonal contraception]. Gynakol Geburtshilfliche Rundsch. 1992;32(3):174-6. [1467664 ]
- Spornitz UM: The functional morphology of the human endometrium and decidua. Adv Anat Embryol Cell Biol. 1992;124:1-99. [1561944 ]
- Kovacs G: Progestogen-only pills and bleeding disturbances. Hum Reprod. 1996 Oct;11 Suppl 2:20-3. [8982741 ]
- Lauritzen C: [Prevention of conception in adolescence]. Ther Umsch. 1994 May;51(5):314-24. [8016756 ]
- Emergency contraception hot line launched. Reprod Freedom News. 1996 Feb 23;5(4):7. [12290778 ]
- Maximizing the use of the progestin minipill. Contracept Technol Update. 1999 Feb;20(2):19-21. [12294591 ]
- Dorea JG, Miazaki ES: The effects of oral contraceptive use on iron and copper concentrations in breast milk. Fertil Steril. 1999 Aug;72(2):297-301. [10438999 ]
- Benagiano G, Bastianelli C, Farris M: Hormonal contraception: state of the art and future perspectives. Minerva Ginecol. 2007 Jun;59(3):241-70. [17576403 ]
- Benagiano G, Primiero FM: Seventy-five microgram desogestrel minipill, a new perspective in estrogen-free contraception. Ann N Y Acad Sci. 2003 Nov;997:163-73. [14644823 ]
- Is Cerazette the minipill of choice? Drug Ther Bull. 2003 Sep;41(9):68-9. [14531209 ]
- Benagiano G, Bastianelli C, Farris M: Contraception today. Ann N Y Acad Sci. 2006 Dec;1092:1-32. [17308130 ]
- Helleday J, Siwers B, Ritzen EM, Carlstrom K: Subnormal androgen and elevated progesterone levels in women treated for congenital virilizing 21-hydroxylase deficiency. J Clin Endocrinol Metab. 1993 Apr;76(4):933-6. [8473408 ]
- FDA label
- International Agency for Research on Cancer (2014). IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. [Link]
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Gene Regulation |
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Up-Regulated Genes | Not Available |
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Down-Regulated Genes | Not Available |
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