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

Cullberg 1972.

Methods Randomisation was done statistically by the pharmaceutical company, allocation concealment was via a secure code not broken until after all data was collected. 
 Double blind 
 322 women initially randomised, 23 drop outs (5 pregnancies, 6 disappeared, 4 somatic complaints such as bleeding skin troubles or nausea, 3 interfering illness, 4 change of mind). 
 213 of the initial group randomised had dysmenorrhoea, with 203 women with dysmenorrhoea analysed.
Participants Inclusion: women aged between 18 to 45, absence of actual known disease, normal menstrual cycle, no actual or planned pregnancy. 
 Exclusion: use of oral contraceptive in last 3 months 
 Age: 27.5 (7.7) 
 Source: female personnel from the general post office, the general telephone company, 4 nursing schools, 2 hospitals, the psychological institute at the local university 
 Location: Stockholm, Sweden.
Interventions 1. norgestrel 1mg, ethinyl oestradiol 0.05mg 
 2. norgestrel 0.5mg, ethinyl oestradiol 0.05mg (Ovral) 
 3. norgestrel 0.06mg, ethinyl oestradiol 0.05mg 
 4. placebo 
 Treatment was for 2 months and 1 tablet free month follow up.
Outcomes Dysmenorrhoea (improved, worse, unchanged, none prior to treatment)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Pharmaceutical company provided the sequence
Allocation concealment? Low risk A ‐ Adequate, via a secure code not broken until after all data was collected.
Blinding? 
 All outcomes Low risk Double
Incomplete outcome data addressed? 
 All outcomes High risk  
Free of selective reporting? Unclear risk No data provided
Power calculations High risk  
Dropouts reported High risk  
Baseline comparability Low risk