What are the generations of progestins?

Progestin Generations

• First generation: Norethindrone, norethindrone acetate, and ethynodiol.
• Second generation: Desogestrel and norgestrel.
• Third generation: Norgestrel and norgestimate.
• Fourth generation: Drospirenone.

How many generations of progesterone are there?

Since then it has gone through several incarnations. These are referred to as ‘generations’, of which there are four. The main difference between them is the type of progesterone which is used.

Which generation is dienogest?

In recent years, the effectiveness of dienogest, a fourth-generation progestin, for endometriosis treatment has been demonstrated. Dienogest seems to be as effective as gonadotrophin-releasing hormone-a (GnRH-a) in terms of endometriosis-related pelvic pain improvement.

What generation is drospirenone?

The progesterone component of this oral contraceptive pill (OCP), drospirenone (DRSP), is a fourth-generation progestin that has potent progestogenic, antimineralocorticoid, and antiandrogenic activity, which are unique characteristics compared with the other progestogens contained in most of the other OCPs currently …

What are second generation progestins?

2nd generation progestins were designed to be significantly more potent than the 1st generation and have longer half life. They are also used in Mirena. They are associated with more androgenic effects such as ↑ Low-density lipoprotein or LDL cholesterol, acne, oily skin, facial hair and increased libido.

Is levonorgestrel a second generation progesterone?

Norgestrel and levonorgestrel are second-generation progestins, and desogestrel, gestodene, and norgestimate are the newer, third-generation progestins. Drospirenone is the latest progestogen component (fourth-generation) used in combined pills.

What are the second generation progestins?

What do progestins do?

Progestins work by causing changes in the uterus. After the amount of progestins in the blood drops, the lining of the uterus begins to come off and vaginal bleeding occurs (menstrual period). Progestins help other hormones start and stop the menstrual cycle. . To help treat cancer of the breast, kidney, or uterus.

What generation progestin is Etonogestrel?

The later, including desogestrel (DSG) and its derivative etonogestrel, gestodene (GES) and norgestimate (norelgestromin), have been referred to as third-generation progestins. Several new progestins have been synthesized in the last decade and may be considered as a fourth-generation of progestins.

Is drospirenone a combination pill?

Drospirenone and ethinyl estradiol is a combination birth control pill containing female hormones that prevent ovulation (the release of an egg from an ovary).