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 4

Influence of different oral contraceptive combination on markers of chronic inflammation in polycystic ovary syndrome.

Inflammatory marker
StudyFormulationBeforeAfterES∗∗p∗∗∗

IL-6 (pg/ml)
 Diaz et al, 2012EE 35 μg/ CPA 2 mg1.671.39-0.280.911
 Ibanez and de Zegher, 2004EE 30 μg/ DRSP 3 mg0.951.09+0.14>0.05
 Vieira et al, 2012EE 30 μg/ CMA 2 mg1.901.70-0.20>0.05
 Glintborg et al, 2014EE 30 μg/ DSG 0.15 mg1.701.40-0.30>0.05
 Essah et al, 2011EE 30 μg/ NGM 0.15-0.25 mg2.101.60-0.500.060
PAI-1 (mg/ml)/(IU/ml)
 Hoeger et al, 2008EE 30 μg/ DSG 0.15 mg46.929.5-17.4<0.05
 Essah et al, 2011EE 30 μg/ NGM 0.18-25 mg81.276.5-04.70.520
 Orio et al, 2016EE 30 μg/ DRSP 3 mg02.602.4-0.2>0.05
Neutrophils (nx1000/mm3)
 Ibanez et al, 2005EE 30 μg/ DRSP 3 mg/ GSD 75 μg03.904.7+0.80>0.05
Lymphocytes (nx1000/mm3)
 Ibanez et al, 2005EE 30 μg/ DRSP 3 mg/ GSD 75 μg02.302.2-0.1>0.05
TNF-α (pg/ml)
 Vieira et al, 2012EE 30 μg/ CMA 2 mg10.612.0+1.4>0.05
MCP-1 (pg/ml)
 Glintborg et al, 2014EE 30 μg/ DSG 0.15 mg50.044.0-06.0>0.05
sICAM-1(ng/ml)
 Bilgir et al, 2009EE 35 μg/ CPA 2 mg370.1364.7-5.40.800
sVCAM-1(ng/ml)
 Bilgir et al, 2009EE 30 μg/ DSG 0.15 mg583.0522.0-61.00.003
 Banaszewska et al, 2007EE 30 μg/ CMA 2 mg776.3742.9-33.40.100
Se-selectin (ng/ml)
 Bilgir et al, 2009EE 35 μg/ CPA 2 mg29.137.1+8.00.100
Sp-selectin (ng/ml)
 Bilgir et al, 2009EE 35 μg/ CPA 2 mg229.4189.6-39.80.080
sCD40L (ng/ml)
 Kebapcilar et al, 2010EE 35 μg/ CPA 2 mg1.332.70+1.370.011

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