Norgestimate OCPs have the following advantages except _________

Third-generation progesterone (desogestrel, gestodene, norgestimate). These are less androgenic and cause less metabolic disorders, but increase the risk of thrombosis. Benefits of combined pills: It effectively controls feility As it causes regular and scanty menstruation, it is useful in menorrhagia and polymenorrhoea. By viue of non-ovulation, it can relieve dysmenorrhoea and premenstrual tension, It prevents anaemia by reducing the menstrual loss It has proved to lower the incidence of benign breast neoplasia such as fibrocystic disease. It reduces the incidence of functional ovarian cyst (50%) and ovarian and uterine malignancy. The incidence of PID is reduced, though it doesnot reach the same low level as seen with the barrier method. This effect is due to the thick cervical mucus caused by progesterone, preventing the organisms entering into the uterine cavity. Reduced incidence of ectopic preganancy is due to suppression of ovulatory and reduction in PID It protects against rheumatoid ahritis Reduces the risk of anorectal cancer by 30-40% It is useful in acne, PCOD and endometriosis Types of monophasic combined oral pills: 1st generation Ethinyl oestradiol Norethindrone 2nd generation Ethinyl oestradiol Norgestrel, LNG 3rd generation Ethinyl oestradiol Desogestrel, gestodene, norgestimate 4th generation (Yasmin) Ethinyl oestradiol Drospirenone Ref: Shaw&;s textbook of Gynaecology 17th edition pgno: 190,265