宫内避孕的复苏

Petrov Yu.A., Spiridenko G.Yu., Bragina T.V.
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引用次数: 0

摘要

宫内避孕的话题在很长一段时间内仍然是相关的。积极寻求最佳和安全的宫内避孕方法始于上个世纪,并在现代世界获得越来越多的动力。这个问题的重要性是由于育龄人口继续需要控制生育,普及关于各种控制生育方法的数据,以及希望使用安全、有效、无害环境的避孕方法。所提出的主题涉及计划生育和孕前培训方面,因此它不仅是一个重大的医学问题,也是一个社会问题。这导致不断需要研究宫内避孕对女性身体的全身和局部影响的新机制。本文讨论了宫内避孕药具的使用,其对子宫内膜的影响特点,妇女的生殖潜力,以及其使用的积极和消极方面。也有一些妇女选择宫内避孕作为节育的方法。介绍了提取宫内避孕药具的适应症。其中,在使用非甾体抗炎药没有效果的情况下,持续超过6个月的痛经类型,使用宫内避孕药具的期限结束,女性的欲望和需要,期望怀孕,驱逐,绝经后时期。了解宫内避孕的各个方面,使妇产科医生能够正确选择某种类型的宫内节育器,向妇女解释其使用的所有风险,及时诊断和纠正并发症。
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THE RESURGENCE OF INTRAUTERINE CONTRACEPTION
The topic of intrauterine contraception remains relevant for a very long time. The active search for optimal and safe means of intrauterine contraception began in the last century and is gaining more and more momentum in the modern world. The importance of this issue is due to the continuing need of the population of reproductive age to control childbearing, the popularization of data on various methods of birth control and the desire to use safe, effective, environmentally friendly methods of contraception. The presented topic touches on the aspects of family planning and pre-gravidar training, so it is not only a significant medical, but also a social problem. This leads to the constant need to study new mechanisms of systemic and local effects of intrauterine contraceptives on the female body. This article discusses the use of intrauterine contraceptives, the features of their impact on the endometrium, the reproductive potential of women, as well as the positive and negative aspects of their use. There are also groups of women for whom intrauterine contraception is the method of choice for birth control. The indications for the extraction of an intrauterine contraceptive are described. Among them, there are menstrual disorders of the type of hypermenorrhea lasting more than 6 months in the absence of the effect of the use of non-steroidal anti-inflammatory drugs, the end of the period of use of an intrauterine contraceptive, the desire and need of a woman, the desired pregnancy, expulsions, the postmenopausal period. Knowledge of all aspects of intrauterine contraception allows the obstetrician-gynecologist to correctly select a certain type of IUD, to explain to the woman all the risks of its use, to diagnose and correct complications in a timely manner.
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