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预防意外怀孕:长效可逆避孕方法综述

Preventing Unintended Pregnancies: A Review of Long-Acting Reversible Contraception.

作者信息

Torve Megan, Hansen Keith

机构信息

University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

Sanford Fertility and Reproductive Medicine, Sioux Falls, South Dakota.

出版信息

S D Med. 2023 Mar;76(3):132-136.

Abstract

With increasing uncertainty surrounding female reproductive rights, patient education about contraceptive options is of paramount importance. Although traditional oral contraceptive pills (OCP) are often used to prevent pregnancy, they require precise, daily effort and have continual monetary maintenance costs for patients. Long-acting reversible contraceptives (LARCs) - intrauterine devices and the contraceptive implant - are effective and reliable alternatives to OCPs that are gaining popularity in the U.S. These contraceptive options do not require continual patient maintenance and are overall cost-effective. Physicians should be well versed in what contraceptive options are available for their patients and comfortable providing education and recommendations. This analysis will cover what LARCs are on the U.S. market, risks and benefits of each, as well as the CDC's medical eligibility criteria.

摘要

随着围绕女性生殖权利的不确定性不断增加,对患者进行避孕选择方面的教育至关重要。尽管传统口服避孕药(OCP)常被用于预防怀孕,但它们需要患者精确、每日坚持服用,并且患者还需持续承担费用。长效可逆避孕法(LARC)——宫内节育器和避孕植入物——是口服避孕药有效且可靠的替代方法,在美国正越来越受欢迎。这些避孕方法不需要患者持续维护,总体上具有成本效益。医生应该熟知有哪些避孕方法可供患者选择,并能自如地提供相关教育和建议。本分析将涵盖美国市场上的长效可逆避孕法、每种方法的风险和益处,以及美国疾病控制与预防中心的医学适用标准。

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