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Gracial ProdMonograph_cover - epgonline.org

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1. Introduction<br />

•<strong>Gracial</strong> is the first combiphasic oral contraceptive, with<br />

an estrogen-dominant phase of seven days, followed by<br />

a progestogen-dominant phase of 15 days<br />

• The control of irregular bleeding that this regimen<br />

offers makes <strong>Gracial</strong> ideal for women with<br />

unacceptable irregular bleeding patterns<br />

•<strong>Gracial</strong> has also been shown to have beneficial effects<br />

on mild to moderate acne<br />

Benefits of<br />

the Pill<br />

The introduction of combined oral contraceptives (OCs) in the<br />

early sixties made effective and reversible contraception for<br />

women available for the first time.<br />

The obvious benefits of the Pill – prevention of unwanted<br />

pregnancy and consequent reduction in the need for abortion,<br />

the possibility of family planning and the realization of sexual<br />

liberation – were quickly recognized. Pill users also<br />

appreciated the regulation of the menstrual cycle, the<br />

decrease in premenstrual complaints and the possibility of<br />

timing their menstrual periods.<br />

After some initial hesitation, use of the Pill increased rapidly.<br />

By 1999, some 90 million women were using an oral<br />

contraceptive, and their number is still growing.<br />

Although new forms of contraception may be developed in the<br />

near future, the Pill is likely to maintain its important position<br />

as a contraceptive, and more and more women are likely to<br />

become long-term users. Meanwhile, the development of<br />

newer OC formulations, with less systemic effects, has made<br />

the Pill acceptable for a wider spectrum of women.<br />

1

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