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. 2021 Jun 8;7(4):e110. doi: 10.1192/bjo.2021.64

Table 2.

Comparisons for effects of hormonal contraceptives on depressive symptoms

Desogestrel (75 μg)
0.09 (−0.88 to 1.07) Oestradiol/dienogest (3;2;2;1 mg/0;2;3;0 mg)
0.06 (−0.75 to 0.94) −0.04 (−0.71 to 0.72) Oestradiol/nomegestrol acetate (1.5 mg/2.5 mg)
0.04 (−0.54 to 0.62) −0.05 (−0.91 to 0.80) −0.02 (−0.76 to 0.66) Ethinylestradiol/etonogestrel (15 μg/120 μg)
−0.03 (−0.61 to 0.55) −0.13 (−1.00 to 0.74) −0.10 (−0.85 to 0.60) −0.08 (−0.61 to 0.46) Ethinylestradiol/desogestrel (20 μg/150 μg)
−0.04 (−0.74 to 0.66) −0.14 (−0.96 to 0.69) −0.11 (−0.81 to 0.55) −0.09 (−0.71 to 0.55) −0.01 (−0.47 to 0.46) Ethinylestradiol/levonorgestrel (20 μg/100 μg)
0.07 (−0.71 to 0.85) −0.02 (−0.68 to 0.62) 0.03 (−0.44 to 0.37) 0.03 (−0.59 to 0.64) 0.11 (−0.56 to 0.76) 0.12 (−0.52 to 0.74) Ethinylestradiol/drospirenone (30 μg/3 mg)
0.18 (−0.62 to 0.98) 0.08 (−0.47 to 0.63) 0.12 (−0.37 to 0.53) 0.13 (−0.52 to 0.80) 0.21 (−0.46 to 0.88) 0.22 (−0.40 to 0.84) 0.10 (−0.22 to 0.45) Ethinylestradiol/levonorgestrel (30 μg/150 μg)
−0.12 (−1.00 to 0.74) −0.22 (−0.91 to 0.46) −0.18 (−0.79 to 0.35) −0.17 (−0.92 to 0.58) −0.09 (−0.85 to 0.65) −0.08 (−0.79 to 0.61) −0.19 (−0.70 to 0.31) −0.30 (−0.71 to 0.10) Levonorgestrel (30 μg)
0.01 (−0.77 to 0.81) −0.09 (−0.70 to 0.54) −0.05 (−0.51 to 0.35) −0.04 (−0.68 to 0.63) 0.04 (−0.60 to 0.69) 0.05 (−0.52 to 0.63) −0.07 (−0.44 to 0.34) −0.17 (−0.46 to 0.13) 0.13 (−0.28 to 0.56) Placebo

Data are standardised mean differences (SMD) with 95% credible intervals in the column-defining intervention compared with the row-defining intervention. Higher SMD values correspond with fewer depressive symptoms in the column-defining hormonal contraceptive. None of the results were significant and all evidence was of low certainty (marked with ). Ethinylestradiol/dienogest (3;2;2;1 mg/0;2;3;0 mg) is a multiphasic combined oral contraceptive that has four different dosages of hormones throughout a 4-week cycle. The dosages before the ‘slash’ refer to the different dosages of ethinylestradiol, and the ones after the ‘slash’ refer to those of dienogest.