Comparative description of the use of modern methods of hormonal contraception for women with excessive body mass
DOI:
https://doi.org/10.14739/2409-2932.2016.1.61478Keywords:
Contraception, Overweight, Body Mass IndexAbstract
Maintenance of reproductive health of women with excessive weight is the actual problem of nowadays and is an important direction of modern medicine.
Aim. To analyze the efficiency and acceptability of oral, іntravaginal and transdermal hormonal contraceptives among women with excessive body mass.
Methods and results. The tolerability and ease of use of different types of hormonal contraception have been studied in 72 women with excessive body mass to determine the reliability and acceptability of modern hormonal contraceptives. It has been investigated that the effectiveness of hormonal contraceptives according to our data is 100%, none patient was registered with an unwanted pregnancy. The total subjective evaluation of all hormonal contraceptives use were positive: 78.6% of women with excessive body mass who used oral contraceptives, were satisfied with the chosen contraceptive method, 81,8% – were satisfied with intravaginal method, 59,1% – transdermal contraceptive.
Conclusions. It has been found that intravaginal contraceptive is most suitable as the drug of first choice for women with overweight compared with oral and transdermal hormonal methods of contraception. This suggests that women with excessive body mass can successfully use modern methods of hormonal contraception. But it is necessary to carry out clinical supervision, during which further clarification on the use of hormonal contraception in women with excessive body mass is possible.
References
Almazov, V. A., Blagosklonnaya, Ya. V., Shlyakhto, E. V., & Krasil'nikova, E. I. (1999) Metabolicheskij serdechno-sosudistyj sindrom [Metabolic cardiovascular syndrome]. Saint Petersburg. [in Russian].
Dedov, I. I., Mel′nichenko, G. A., & Romancova, T. I. (2004) Patogeneticheskie aspekty ozhireniya [Pathogenetic aspects of obesity]. Ozhirenie i metabolizm, 1, 3–9. [in Russian].
Vsesvitnia orhanizatsiia okhorony zdorovia (2006) Kryterii pryiniatnosti vykorystannia metodiv kontratseptsii [Eligibility criteria of contraceptive use], (2004 r.). Kyiv: Morion. [in Ukrainian].
Prilepskaya, V. M., & Callagov, E. V. (2004) Ginekologicheskaya e′ndokrinologiya [Gynecological endocrinology]. Moscow. [in Russian].
Svetlakov, A. V, Yamanova, M. V., Filippov, O. S., & Malakhova, N. A. (2001) Leptin i lipidnyj spektr krovi u zhenshchin s raznymi tipami ozhireniya [Leptin and blood lipid spectrum in women with different types of obesity]. Problemy reprodukcii, 6, 33–35. [in Russian].
Martins, J. M., Carreiras, F., Falcao, J., Afonso, A., & da Costa, J. C. (1998) Dyslipidaemia in female overweight and obese patients. Relation to anthropometric and endocrine factors. International Journal of Obesity, 22(2), 164–170.
Roberts, L., & Haycox, A. (1999) Obesity. About the size of it. Health Serv J, 109(5662), 28–91.
Downloads
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)