University of Sydney, Department of Obstetrics, Gynaecology and Neonatology , Camperdown, Sydney 2006 , Australia
Expert Opin Pharmacother. 2014 Feb;15(2):203-10. doi: 10.1517/14656566.2014.862234. Epub 2013 Nov 27.
Although the contraceptive options for women have expanded considerably in the last decade, these methods are often not being offered to women as choices because clinicians are not well informed, limiting the ability of women to control their fertility.
Areas covered include the use of oestradiol instead of ethinyl oestradiol and improved progestogens utilised in hormonal contraceptives, and new delivery systems have enabled the development of long-acting methods, which require less action on the part of the user, and thereby, reduce failure rates. Effective emergency contraceptive methods have become more readily available over the counter. However, male contraception, despite much research, still remains elusive.
This manuscript will provide an assessment of recent advances and controversies in contraception and make suggestions about improved availability.
尽管在过去十年中,女性的避孕选择大大增加,但由于临床医生缺乏足够的信息,这些方法往往不能作为选择提供给女性,从而限制了女性控制生育能力的能力。
涵盖的领域包括雌激素而非乙炔雌二醇的使用以及激素避孕药中使用的改良孕激素,新的给药系统使长效方法得以发展,长效方法需要用户的操作较少,从而降低了失败率。有效的紧急避孕方法现在更容易在柜台上获得。然而,尽管进行了大量研究,男性避孕仍然难以实现。
本文将评估避孕方面的最新进展和争议,并就提高可用性提出建议。