ABSTRACT
The effect on protein and amino acid metabolism of combined oral contraceptives (OC) containing 150 micrograms of laevonorgestrel and 30 micrograms of ethinyl oestradiol was studied in a group of 34 healthy non-lactating women. This was compared to an identical study conducted in another group of 19 subjects who used IUCDs for contraception, and also in two other groups of subjects who were given an additional multivitamin preparation on a daily basis (29 subjects) and on the days when OC was not taken (29 subjects). Assessments were made prior to, and during the third week of the 4th, 7th, and the 13th cycles of OC treatment. Results indicated that the ceruloplasmin and retinol binding protein underwent significant increases with OC usage, while sex hormone binding globulin concentration, on the other hand, remained unaffected. At the same time, a significant reduction of several of the plasma amino acid and plasma albumin concentrations was observed, suggesting that the increase in the visceral and other types of protein concentrations previously noted was due to increased hepatic protein synthesis rather than increased breakdown or excretion as result of OC intake. Interesting biochemical alterations and metabolic effects previously observed may well be related to this altered synthesis and release of proteins and/or protein binders as well as induction of certain metabolic enzymes from the liver.