Review Article

Combined Oral Contraceptive Effects on Low-Grade Chronic Inflammatory Mediators in Women with Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis

Table 3

Summary of the influence of different oral contraceptive combination on C-reactive protein in polycystic ovary syndrome.

Inflammatory marker
StudyFormulationBeforeAfterES∗∗p∗∗∗

CRP (mg/l)
 Morin-Papunen et al, 2003EE 35 μg/ CPA 2 mg2.914.58+1.67<0.001
 Chen et al, 2010EE 35 μg/ CPA 2 mg0.71.2+0.50.002
 Teede et al, 2010EE 35 μg/ CPA 2 mg3.54.7+1.20.001
 Ibanez et al, 2011EE 35 μg/ CPA 2 mg0.91.7+0.8<0.05
 Gode et al, 2011EE 35 μg/ CPA 2 mg3.313.87+0.56>0.05
 Diaz et al, 2012EE 35 μg/ CPA 2 mg0.92.6+1.7<0.05
 Ibanez et al, 2013EE 35 μg/ CPA 2 mg0.93.2+2.3<0.01
 Christakou et al, 2014EE 35 μg/ CPA 2 mg1.362.63+1.27<0.001
 Kahraman et al, 2014EE 35 μg/ CPA 2 mg1.213.31+2.1<0.05
 Dardzinska et al, 214EE 35 μg/ CPA 2 mg0.771.70+0.93<0.001
 Orio et al, 2016EE 35 μg/ CPA 2 mg1.801.90+0.1>0.05
 Tfayli et al, 2011EE 30 μg/ DRSP 3 mg1.73.8+2.1<0.001
 Harmanci et al, 2013EE 30 μg/ DRSP 3 mg0.501.5+1<0.05
 Kahraman et al, 2014EE 30 μg/ DRSP 3 mg0.931.22+0.290.040
 Christakou et al, 2014EE 30 μg/ DRSP 3 mg1.091.93+0.84<0.001
 Yildzhan et al, 2015EE 30 μg/ DRSP 3 mg3.774.32+0.550.005
 Orio et al, 2016EE 30 μg/ DRSP 3 mg1.81.9+0.1<0.05
 Vieira et al, 2012EE 30 μg/ CMA 2 mg2.16.0+3.9<0.05
 Yildzhan et al, 2015EE 30 μg/ CMA 2 mg4.260.72-3.540.004
 Hoeger et al, 2008EE 30 μg/ DSG 0.15 mg6.89.5+2.7<0.05
 Kilic et al, 2011EE 30 μg/ DSG 0.15 mg1.673.23+1.56<0.001
 Banaszewska et al, 2007EE 20 μg/ DSG 0.15 mg1.611.70+0.090.74
 Essah et al, 2011EE 30 μg/ DSG 0.15-0.25 mg4.95.6+0.70.280

abbreviations are given in the text.
∗∗ES: effect-size.
∗∗∗p: values taken from each study.