Robin Geoffroy, Letombe Brigitte
Service de gynécologie médicale et médecine du couple, hôpital Jeanne-de-Flandre, CHRU de Lille, 59037 Lille.
Rev Prat. 2008 Jan 15;58(1):29-40.
Excluded hormonal contraceptives, there are non hormonal means of contraception. Among them, copper intrauterine devices (IUD) are very efficient. Copper IUD are the most used contraceptives in France and in the world, even then "false ideas", like contraindication to non steroidal anti-inflammatory drugs or higher risk of tubal infertility, have tarnished its reputation. The other non hormonal contraceptives, less effectiveness, include first, the male and female condoms which are the only efficient means to prevent sexually transmitted infections and then the "local" contraceptives like spermicides, diaphragms and cervical caps. The effectiveness of these methods depends primarily on their correct use (which requires a careful training). Then these "local" means are acceptable contraceptive methods only for specific use or for very motivated women.
除了激素避孕法外，还有非激素避孕方法。其中，铜宫内节育器（IUD）非常有效。铜宫内节育器是法国乃至世界上使用最多的避孕方法，即便如此，一些“错误观念”，如对非甾体抗炎药的禁忌或输卵管性不孕风险更高，损害了它的声誉。其他非激素避孕方法效果较差，首先包括男用和女用避孕套，它们是预防性传播感染的唯一有效手段，其次是“局部”避孕法，如杀精剂、阴道隔膜和宫颈帽。这些方法的有效性主要取决于正确使用（这需要仔细培训）。此外，这些“局部”方法仅适用于特定用途或积极性很高的女性。
