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. 2009 Oct 7;2009(4):CD002120. doi: 10.1002/14651858.CD002120.pub3

Winkler 2003.

Methods Randomisation list was generated by computer. 
 Open trial 
 1027 women initially randomised, 239 dropouts (unacceptable bleeding problems, adverse events). 
 349 of the initial group randomised had dysmenorrhoea and no dropouts reported.
Participants Inclusion: aged 18 to 45 years old, BMI of 18 to 29 kg/m2 
 Exclusion: smoking, concomitant medication or addictive drugs, psychiatric disorders, using injectable hormonal contraceptives within 6 months of enrolment 
 Age: DSG group ‐ 28.2, LNG group ‐ 28.5 
 Location: Germany and the Netherlands
Interventions 1. Ethinyl estradiol 0.02mg and 0.15mg desogestrel 
 2. Ethinyl estradiol 0.02mg and 0.01mg levonorgestrel 
 Treatment was for 6 months and 5 months follow up
Outcomes Dysmenorrhoea (improved/ not improved)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk Computer generated
Allocation concealment? Unclear risk B ‐
Blinding? 
 All outcomes High risk Open
Incomplete outcome data addressed? 
 All outcomes Low risk  
Free of selective reporting? Unclear risk No adverse events reported
Power calculations High risk  
Dropouts reported Low risk 239/1027
Baseline comparability Low risk