[Contraception in adolescents with obesity and diabetes mellitus].

Q4 Medicine Problemy endokrinologii Pub Date : 2022-08-10 DOI:10.14341/probl12760

M R Shaydullina, F V Valeeva, A F Soubchankoulova, P A Khusieva

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引用次数: 1

Abstract

Today most adolescents have their first sexual experience at the age of 15-19. However, only 44% of girls and young women (15-24 years old) report about contraception at that moment. A decision on pregnancy in adolescence is a difficult choice and any scenario may cause serious medical and social problems. Complications after an artificial abortion have a negative impact on a woman's fertility. Diabetes mellitus type 1 and arterial hypertension accompanied with obesity within the metabolic syndrome are defined by the World Health Organization (WHO) as diseases, which increase risk of an unplanned pregnancy. The article consoders problems of interaction of a doctor and a teenage girl with endocrinopathy, when discussing her sexual health, the analysis of the literature reflecting the influence of contraception on the course of the underlying pathology is presented. The authors formed a list of drugs acceptable for use in diabetes and obesity based on assessment of risks and preferences from the use of different methods of fertility control. The work contains information about the procedure of starting contraception, the rules of future dynamic monitoring of the patient.

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[肥胖和糖尿病青少年的避孕]。

今天，大多数青少年在15-19岁时有了第一次性经历。然而，只有44%的女孩和年轻妇女(15-24岁)报告在那个时候采取了避孕措施。在青春期决定怀孕是一个艰难的选择，任何情况下都可能导致严重的医疗和社会问题。人工流产后的并发症对妇女的生育能力有负面影响。世界卫生组织(世卫组织)将1型糖尿病和伴有代谢综合征肥胖的动脉高血压定义为增加意外怀孕风险的疾病。本文讨论了一位医生和一位患有内分泌疾病的少女在讨论她的性健康问题时的互动问题，并对反映避孕对潜在病理过程影响的文献进行了分析。作者根据使用不同生育控制方法的风险和偏好评估，列出了糖尿病和肥胖症患者可接受的药物清单。这项工作包括关于开始避孕程序的信息，病人未来动态监测的规则。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Problemy endokrinologii Medicine-Endocrinology, Diabetes and Metabolism

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Since 1955 the “Problems of Endocrinology” (or “Problemy Endocrinologii”) Journal publishes timely articles, balancing both clinical and experimental research, case reports, reviews and lectures on pressing problems of endocrinology. The Journal is aimed to the most topical issues of endocrinology: to chemical structure, biosynthesis and metabolism of hormones, the mechanism of their action at cellular and molecular level; pathogenesis and to clinic of the endocrine diseases, new methods of their diagnostics and treatment. The Journal: features original national and foreign research articles, reflecting world endocrinology development; issues thematic editions on specific areas; publishes chronicle of major international congress sessions and workshops on endocrinology, as well as state-of-the-art guidelines; is intended for scientists, endocrinologists diabetologists and specialists of allied trade, general practitioners, family physicians and pediatrics.