An overview of contraception in women with obesity

被引：1
作者：
Hammad, Wafaa Ali Belail [1 ]
Gupta, Neerja [2 ]
Konje, Justin C. [3 ,4 ,5 ]
机构：
[1] Basildon & Thurrock Univ Hosp NHS Fdn Trust, Dept Obstet & Gynaecol, Basildon, England
[2] Basildon & Thurrock Univ Hosp NHS Fdn Trust, Basildon, England
[3] Feto Maternal Ctr, Doha, Qatar
[4] Weill Cornell Med, Obstet & Gynecol, Ar Rayyan, Qatar
[5] Univ Leicester, Dept Hlth Sci, Obstet & Gynaecol, Leicester, England
来源：
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY | 2023年 / 91卷
关键词：
Obesity; Contraception; Pharmacokinetics; Safety; Combined hormonal contraception; Implants and lactational amenorrhea; DEPOT MEDROXYPROGESTERONE ACETATE; NONFATAL VENOUS THROMBOEMBOLISM; AMENORRHEA METHOD LAM; EMERGENCY CONTRACEPTION; ORAL-CONTRACEPTIVES; BODY-WEIGHT; INTRAUTERINE-DEVICE; ULIPRISTAL ACETATE; TRANSDERMAL PATCH; ETHINYL ESTRADIOL;
D O I：
10.1016/j.bpobgyn.2023.102408
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
The use of safe and effective contraception is essential for pre-venting unplanned pregnancy in women of all body sizes. When counseling women with obesity about contraception, it is impor-tant to consider the pharmacokinetic alterations of obesity on various modern contraceptive methods. However, evidence is reassuring that most contraceptive methods are safe and effective in women with obesity. Individual countries and the World Health Organization have published Medical Eligibility Criteria to guide contraceptive selection in women with medical issues including obesity. When choosing contraception, specific risks of the method relative to any underlying medical disorders must also be balanced against the risks of unintended pregnancy in this group.(c) 2023 Elsevier Ltd. All rights reserved.
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页数：13
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