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December 5, 2025The European Journal of Contraception & Reproductive Health Care3 citationsOpen Access

One-year clinical experience on the thromboembolic safety profile of the first prolonged release combined oral contraceptive containing 2 mg dienogest and 0.02 mg ethinyl-oestradiol

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GGGiovanni GrandiIWInka WiegratzAMAlejandro Muñoz

Key Points

  • VTE incidence under the use of dienogest and ethinyl-oestradiol is low, reassuring patients and healthcare providers.
  • The reported incidence is lower than the EMA-defined rates for levonorgestrel-containing COCs.
  • Safety profile confirms the introduction of a safe contraceptive option, particularly for those desiring anti-androgen properties.
  • This report supports the prolonged release formulation's safety in clinical use over one year.

Abstract

The reported incidence of VTE under the use of DNG/EE is low, lower than the rate defined by the EMA of 5-7 cases per 10,000 women-years under the use of a COC with levonorgestrel or the summary of product characteristics specified VTE risk of 8-11 cases per 10,000 women-years for the combination of DNG/EE, hence introducing a new safe contraceptive option, in particular for users wishing the anti-androgen properties of such a formulation. This first preliminary report further confirms the safety of the product, providing reassurance to both healthcare providers and patients.

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Cite This Study

Grandi et al. (2025) studied this question.

synapsesocial.com/papers/6932311e8e51979591dce2ebhttps://doi.org/10.1080/13625187.2025.2590003
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