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首页> 外文期刊>Current women’s health reviews >Combined Oral Contraceptive in Adolescent and Young Adult Women: Current Evidence and Future Perspectives
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Combined Oral Contraceptive in Adolescent and Young Adult Women: Current Evidence and Future Perspectives

机译：青少年和年轻成年女性的口服避孕药：当前的证据和未来的观点

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Background: The use of effective contraceptive methods must be encouraged amongadolescents, not only to prevent unintended pregnancies but also to promote the sexual health andwell-being of these young people. In effect, hormonal contraceptives offer several benefits beyondprevention of pregnancy to every woman, in particular to adolescents (e.g., dysmenorrhea, irregularbleeding, hirsutism, acne); moreover, they can be a targeted therapy for some gynecological diseases(e.g., endometriosis, polycystic ovary syndrome), to ensure a better quality of life.Objective: The purpose of this article is to review the different formulations of COCs for adolescentand young adult women, and analyze their efficacy, safety, and benefits of specific pathologicalconditions.Methods: We screened published literature on PubMed/MEDLINE and Scopus, using as keywords“oral contraceptive” in adolescent and young adult women. We included only articles in Englishabout the COCs, different regimens and formulations.Results: Our literature analysis allows us to underline the important role of COC not only as birthcontrol method, but also as valid treatments for gynecological disorders related to hormonal fluctuations(e.g., dysmenorrhea, irregular bleeding, hirsutism, acne) and pathological diseases, such aspolycystic ovarian syndrome (PCOS), endometriosis, with a preventive role for fertility preservationand pelvic inflammatory disease.Conclusion: Adequate, care and competent counseling is the key to achieve good compliance ofyoung women with contraception. Through the “GATHER” method suggested by WHO, healthcare providers should first evaluate the balance between benefits and risks of hormonal treatment,create an appropriate safety profile and then recommend COC prescription in adolescent and youngwomen.
机译：背景：必须鼓励使用有效的避孕方法，不仅可以防止意外怀孕，还要促进这些年轻人的性健康。实际上，激素避孕药提供了几种益处，对每个女性，特别是青少年（例如，痛经，不规则的困境，血清化）;此外，它们可以是针对某些妇科疾病的靶向治疗（例如，子宫内膜异位症，多囊卵巢综合征），以确保更好的寿命。目的：本文的目的是审查亚多什布什和年轻成年女性的COCs不同配方，并分析了特定病理条件的疗效，安全性和益处。我们只包括COCS，不同的方案和配方中英语文章，不规则的出血，流血，痤疮）和病理疾病，这种卵形卵巢综合征（PCOS），子宫内膜异位症，具有预防性的生育腐败和骨盆炎症疾病的作用。结论：足够，护理和能力的咨询是实现良好遵守妇女的良好合规的关键避孕。通过谁建议的“聚集”方法，医疗保健提供者应首先评估荷尔蒙治疗的益处与风险之间的平衡，创建适当的安全型材，然后推荐青少年的COC处方。

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