Individual choice of hormonal contraceptive

2019 ◽  
Vol 1 (1) ◽  
pp. 6-14
Author(s):  
I. V. Kuznetsova
Keyword(s):  
Unwanted Pregnancy ◽  
Hormonal Contraception ◽  
Health Benefits ◽  
Hormonal Contraceptive ◽  
Therapeutic Effects ◽  
Individual Choice ◽  
Individual Selection ◽  
The Individual ◽  
Selection Of

Contraception is a unique tool that helps not only to avoid unwanted pregnancy and its termination, but also to get additional health benefits. However, the prevalence of the use of contraceptives as a whole and the resource itself, in terms of additional benefits, hormonal contraception, is far from the actual needs. The presented review substantiates the algorithm for the individual selection of a hormonal drug depending on the clinical portrait of a woman in order to solve the problem of reliable and safe protection from pregnancy with preventive and therapeutic effects.

Personified choice of hormonal contraception

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (4) ◽  
pp. 52-54
Author(s):  
L Yu Karakhalis
Keyword(s):  
Hormonal Contraception ◽  
Individual Choice ◽  
The Individual

The individual choice of prolonged contraception, and qualified consultation reduce possible risks in its application (these literatures and own experience).

Important questions to ask when choosing hormonal contraception. Myths about contraception

GYNECOLOGY ◽  
2021 ◽  
Vol 23 (4) ◽  
Author(s):  
Vera N. Prilepskaya ◽  
Lana L. Bostandzhian
Keyword(s):  
Reliable Method ◽  
Unwanted Pregnancy ◽  
Hormonal Contraception ◽  
Abortion Rate ◽  
Therapeutic Effects ◽  
Efficacy And Safety ◽  
Progressive Method ◽  
Level Of Use ◽  
Modern Methods ◽  
Instructions For Use

Due to the introduction of modern methods of contraception in Europe and, in particular, in Russia, the abortion rate has decreased significantly. This is largely due to the use of such a progressive method as hormonal contraception. However, the level of use of modern methods of contraception in Russia remains low, which is often due to fear of side effects and existing myths, especially in relation to hormonal contraception. Combined oral contraceptives are well studied, have a favorable profile of efficacy and safety, the risks of taking them are minimal and are reflected in the instructions for use. When properly prescribed, hormonal contraception is a reliable method of protection against unwanted pregnancy, which also has additional benefits, including therapeutic effects.

scholarly journals Vaginal hormonal ring: a modern method for prolonged contraception

2020 ◽  
pp. 61-66
Author(s):  
A. Z. Khashukoeva ◽  
S. A. Khlynova ◽  
S. B. Kerchelaeva ◽  
M. V. Burdenko
Keyword(s):  
Ethinyl Estradiol ◽  
Unwanted Pregnancy ◽  
Hormonal Contraception ◽  
Hormonal Contraceptive ◽  
Modern Method ◽  
Modern Medicine ◽  
Ease Of Use ◽  
Contraceptive Effect ◽  
Combined Hormonal Contraception ◽  
Indications For Use

Protection of women’s reproductive health and fertility is one of the priorities for the modern medicine. The prevention of an unintended pregnancy is critical for successful solving of this problem. Prevention of unwanted pregnancy and abortion, medical and social counselling are an integral part of the obstetrician-gynecologist activities. The effectiveness of preventing an unwanted pregnancy is a major factor in choosing a remedy, as well as the ease of use. The article presents information on the new modern contraception methods, including prolonged forms of combined hormonal contraception. A comparative analysis of oral and parenteral contraceptives is provided. The authors gave criteria of efficacy and principles for rational choice of contraceptives. The mechanism of action of a hormonal contraceptive drug containing etonogestrel and ethinyl estradiol is described. The article reviews the main advantages, indications for use and side effects of hormonal releasing systems, which contraceptive effect is provided by a combination of various factors. The suppression of ovulation is the most important of these factors. The researchers provided an analysis of the effect of the vaginal hormonal ring on the biocenosis of vagina and cervical mucosa, on the course of background cervix diseases and the possibility of preventing the development of pathogenic flora, as well as the benefits of its use in women with uncomplicated ectopia of the cervix: the effect on the epithelization of ectopia of columnar epithelium and the beneficial effect on endometrioid heterotopia. The article presents data on the frequency of adverse effects associated with the use of the contraceptive method, as well as risk factors that may become a contraindication to the use of the vaginal hormonal ring. Clear guidelines for postabortion contraception are provided.

scholarly journals The individual selection of ozone therapy dose in treatment of pyoinflammatory complications in pancreatic diabetes

2014 ◽  
Vol 18 (4 (72)) ◽  
Author(s):  
S. U. Karatieieva
Keyword(s):  
Blood Sugar Level ◽  
Control Group ◽  
Individual Selection ◽  
Ozone Therapy ◽  
Pancreatic Diabetes ◽  
The Third ◽  
Inflammatory Processes ◽  
Severity Of The Disease ◽  
The Individual ◽  
Selection Of

The application of intravenous ozone therapy for the patients with purulent inflammatory processes with individual selection of ozone dose due to the severity of the disease using a lymphocytotoxical test causes the stop of the spreading of the suppurative necrotic nidus on the third day. The development of the granulation tissue in the wound and the edge epihtelization occur on the 6th – 8th day of the stay in the hospital of the patients according to the blood sugar level and the reduction of the hospital term of the patients in 3- 5 days in comparison with the control group.

Automated system for the individual selection of hearing aids

1986 ◽  
Vol 20 (2) ◽  
pp. 59-63
Author(s):  
V. P. Ovsyanik ◽  
B. S. Lelyukh ◽  
B. S. Moroz ◽  
A. N. Tsisarenko
Keyword(s):  
Hearing Aids ◽  
Automated System ◽  
Individual Selection ◽  
The Individual ◽  
Selection Of

scholarly journals Pharmacy Implementation of a New Law Allowing Year-Long Hormonal Contraception Supplies

Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 165
Author(s):  
Gelareh Nikpour ◽  
Antoinette Allen ◽  
Sally Rafie ◽  
Myung Sim ◽  
Radhika Rible ◽  
...  
Keyword(s):  
Insurance Coverage ◽  
Hormonal Contraception ◽  
Hormonal Contraceptive ◽  
Awareness Campaign ◽  
Insurance Reimbursement ◽  
Unplanned Pregnancies ◽  
It Compliance ◽  
Publicly Insured ◽  
Insured Patients ◽  
Selection Of

Background: Prescription hormonal contraceptive methods are vital to prevention of unplanned pregnancies. New legislation among 23 states has expanded access to contraception. In California, a 2017 law requires pharmacists to dispense year-long supplies of contraception and insurance plans to cover it upon patients’ request. This study assesses pharmacist knowledge of this new law 6 months after enactment. Methods: From July to November 2017, a random selection of 600 community pharmacies were called requesting a pharmacist (n = 532, 88.7% response). Pharmacists were asked if they had heard of the new law, if they would dispense a year-long supply to cash-pay, privately or publicly insured patients, and what they perceived as obstacles to dispensing year-long supplies. Results: Awareness of this law was assessed through these surveys. Most pharmacists responded they would dispense year-long supplies to cash-pay patients, regardless of knowledge of the new law (81% of “knew”, 70% of “did not know”, p = 0.1046). The top two perceived obstacles were insurance reimbursement (55.8%) and store policy (13.4%). Conclusion: Despite a new law requiring insurance coverage of a year-long supply of prescription birth control, most pharmacists were unaware at six months after the policy went into effect. Of those who were aware, the majority did not clearly understand it. Compliance among insurance plans is unknown. There was no implementation plan or awareness campaign for the new law.

TO THE QUESTION ABOUT THE PROSPECTIVE FOR THE UPDATES OF CLINICAL GUIDELINES FOR HEMODIALYSIS

2019 ◽  
Vol 23 (2) ◽  
pp. 49-76
Author(s):  
A. Sh. Rumyantsev ◽  
G. A. Zemchenkov ◽  
A. B. Sabodash
Keyword(s):  
Clinical Guidelines ◽  
Young Patients ◽  
Dialysis Session ◽  
Individual Choice ◽  
Dialysis Solution ◽  
Working Groups ◽  
Rate Selection ◽  
The Individual ◽  
Instrumental Methods ◽  
Selection Of

In recent years, many new data have been obtained regarding the tactics and strategy of dialysis therapy, which require a revision of existing clinical guidelines. This review of modern criteria for the adequacy of hemodialysis is built in accordance with the Working groups of the 2018 KDIGO Controversies Conference, which is the basis for the development of the update of future clinical guidelines of the International Society of Nephrology. It should be recognized that the intensification of a certain dialysis session has reached a limit in terms of improving meaningful outcomes. At the same time, the individual choice of dialysis modality, conditions for starting and preparing for it, optimization of the ultrafiltration rate, selection of the composition of dialysis solution, and the use of instrumental methods in correcting the water balance allow expanding the possibilities of treatment. The results of the treatment should be evaluated from a patient-oriented position. The concept of “target efficacy” for elderly and frailty patients should gradually give way to the concept of “target tolerance”, in which adequate dialysis should have minimal side effects. At the same time, more frequent, highly effective dialysis may be beneficial in a group of young patients with high metabolic needs. It is worth paying attention to the discord between assessing the significance of outcomes for patients and doctors: a mutual understanding of goals and desires will lead to an increase in compliance with treatment and satisfaction with its results. The purpose of any treatment (including dialysis) should, first of all, not be in conflict with the imperative "noli nocere!".

scholarly journals The relationship between the use of combined hormonal contraception with a predominance of gestagens and the selected types of female body in young women from the region of Lower Silesia

2018 ◽  
Vol 81 (2) ◽  
pp. 182-190
Author(s):  
Aleksandra Karykowska ◽  
Barbara Kwiatkowska ◽  
Joanna Grzelak ◽  
Bożena Kurc-Darak ◽  
Zygmunt Domagała
Keyword(s):  
Young Women ◽  
Subjective Effects ◽  
Unwanted Pregnancy ◽  
Hormonal Contraception ◽  
Negative Effects ◽  
Positive Effects ◽  
Contraceptive Agents ◽  
Study Results ◽  
Combined Hormonal Contraception ◽  
The Individual

Abstract Oral contraceptive agents are currently the most popular and one of the most effective methods for preventing pregnancy. The data shows that over 300 million women in the world use contraceptive drugs containing synthetic hormones to avoid an unwanted pregnancy. Their effects may affect other systems, leading to the occurrence of various problems associated with the use of the drug. The aim of the study is to estimate the frequency of prevalence of subjective effects associated with the use of combined hormonal contraception with a predominance of gestagens by young women Surveys were conducted among female students of Wrocław universities from December 2010 to January 2011. They covered 257 women aged statistically 23.58 (SD=2.95). They were divided into three age classes: 19-22, 23-24, 25-28. The individual age of menarche and the hormonal type of body were determined. Only persons with a gestagenic or estrogenic type of body were qualified for the study. Results: 64.6% of all respondents declared the use of hormonal contraception. Combined agents with a predominance of gestagens constituted 87% in this group. Their use brings both positive (90%) and negative (65%) aspects. The most common positive effects include high contraceptive effectiveness, regulation of menstruation and minimisation of skin problems. The most frequent negative effects include: weight gain, spotting, breast swelling and decreased libido. Surprisingly, the study did not show any correlation between the hormonal type and the occurrence of side effects. There was no significant statistical relationship between the type of hormonal contraception used and the hormonal type.

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