应鼓励印度妇女使用复方阴道避孕环

Sourav Das, Tiasa Sinha
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摘要

本文旨在提高印度妇女对使用阴道避孕环的认识。自荷尔蒙避孕药问世以来,复方口服避孕药(COC)已成为许多妇女的首选方法。虽然口服避孕药的性能有了明显改善,但也存在一些缺点。因此,非口服激素避孕法应运而生。联合阴道避孕环(CCVR)就是其中之一。大多数研究发现,联合阴道避孕环能很好地控制周期,而且与阴道或宫颈异常无关。与治疗有关的不良反应,如头痛、白带增多、恶心等,以及全身性副作用都很小。大多数妇女认为环易于放入和取出,并对环的使用感到满意。因此,可以得出结论,CCVR 是一种有效的避孕药物,具有良好的周期控制能力和耐受性。它的使用者和伴侣接受度高,局部和全身影响小。因此,妇科医生和政策制定者应更加重视其常规使用。
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Indian women should be encouraged to use combined contraceptive vaginal ring
This article is to spread awareness among Indian women regarding vaginal contraceptive ring use. Since the introduction of hormonal contraceptives, combined oral pills (COCs) have become the method of choice for many women. Although COCs have improved significantly, they have got some disadvantages. This has prompted development of non-oral hormonal contraceptive methods. One of them is combined contraceptive vaginal ring (CCVR). Most studies found out that CCVR was associated with good cycle control and was not associated with vaginal or cervical abnormalities. Treatment related adverse effects like headache, leucorrhoea, nausea, etc and systemic side effects are minimal. Most women found the ring easy to insert, easy to remove and were satisfied with ring usage. So it can be concluded that CCVR is an effective contraceptive with good cycle control that is well tolerated. It is associated with high user and partner acceptability and minimal local and systemic effects. Therefore gynaecologists and policy makers should give more emphasis on its routine use.
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