Contraception and gynaecological care

被引:3
作者
Cameron, Sharon [1 ,2 ]
机构
[1] Dean Terrace Ctr, Family Planning & Well Women Serv, Edinburgh EH4 1NL, Midlothian, Scotland
[2] Royal Infirm, Edinburgh EH16 5SU, Midlothian, Scotland
关键词
oral contraceptive pill; intra-uterine system; hormonal contraception; non-contraceptive benefits; gynaecology; FUNCTIONAL OVARIAN CYSTS; DEPOT MEDROXYPROGESTERONE ACETATE; ADMINISTERED PROGESTOGEN LEVONORGESTREL; INTRAUTERINE SYSTEM; ORAL-CONTRACEPTIVES; LEUPROLIDE ACETATE; RANDOMIZED-TRIAL; CANCER-RISK; PELVIC PAIN; ENDOMETRIOSIS;
D O I
10.1016/j.bpobgyn.2008.11.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Hormonal contraception, through suppression of ovarian activity or endometrial proliferation, can be used to treat and prevent a range of gynaecological disorders. There is evidence to Support the effectiveness of the levonorgestrel intra-Uterine system (LNG-IUS), combined oral contraceptive pill (COC) and progestogen-only injectable depot-medroxyprogesterone acetate for treating heavy menstrual bleeding and dysmenorrhoea. COCs are also an effective treatment for acne and hirsuitism, and may lessen the symptoms of premenstrual syndrome. There is good evidence that COCs can significantly reduce the risk of both ovarian and endometrial cancer. There is also some evidence that CM may prevent ovarian cysts, endometrial hyperplasia and fibroids. The LNG-IUS may be used as endometrial protection in women using hormone replacement therapy or tamoxifen. This chapter will deal with the evidence for both treatment and prevention of a range of gynaecological disorders of different hormonal contraceptive methods. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:211 / 220
页数:10
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