Disclosed herein is a method of providing hormonal replacement therapy and contraception for a pre-menopausal woman, which comprises administering to a pre-menopausal woman in need thereof a combination dosage form of an estrogen selected from
0.5-2.0 mg. of 17β-estradiol,
0.008-0.030 mg. of ethinyl estradiol, and
0.015-0.060 mg. of mestranol;
and a progestogen selected from
0.025-0.100 mg. of levonorgestrel,
0.010-0.070 mg. of gestodene,
0.025-0.100 mg. of desogestrel,
0.025-0.100 mg. of 3-ketodesogestrel, and
0.085-0.35 mg. of norethindrone,
said combination dosage form being administered for 23-25 days beginning at day one of the menstrual cycle, followed by 2-5 pill-free or blank pill days, for a total of 28 days in the administration cycle. The preferred dosage form of the invention is a combination of 1 mg. of 17β-estradiol and 0.050 or 0.075 mg. of levonorgestrel. The preferred administration cycle of the invention is administration of the combination dosage form for the first 24 days of the menstrual cycle and no dosage form for the last 4 days of the menstrual cycle.
本文公开了一种为绝经前妇女提供激素替代疗法和避孕的方法,该方法包括向有需要的绝经前妇女施用一种
雌激素的组合剂型,该
雌激素选自
0.5-2.0 毫克 17β-
雌二醇、
0.008-0.030 毫克
炔雌醇和
0.015-0.060 毫克的
雌二醇;
一种孕激素,选自
0.025-0.100 毫克
左炔诺孕酮、
0.010-0.070 毫克的孕烯、
0.025-0.100 毫克
去氧孕烯、
0.025-0.100 毫克的 3-酮地孕烯,以及
0.085-0.35 毫克
炔诺酮、
所述组合剂型从月经周期的第 1 天开始给药 23-25 天,然后是 2-5 天无药日或空白药日,给药周期共 28 天。本发明的优选剂型是 1 毫克 17β-estradiol 和 0.050 或 0.075 毫克
左炔诺孕酮的复方制剂。本发明的优选给药周期是在月经周期的前 24 天使用组合剂型,而在月经周期的后 4 天不使用任何剂型。