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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.

PMID:36898201
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。

相似文献

1
Preventing Unintended Pregnancies: A Review of Long-Acting Reversible Contraception.预防意外怀孕:长效可逆避孕方法综述
S D Med. 2023 Mar;76(3):132-136.
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Long-acting reversible contraceptive acceptability and unintended pregnancy among women presenting for short-acting methods: a randomized patient preference trial.采用短效避孕方法的女性对长效可逆避孕方法的接受度及意外妊娠情况:一项随机患者偏好试验
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Effectiveness of long-acting reversible contraception.长效可逆避孕措施的效果。
N Engl J Med. 2012 May 24;366(21):1998-2007. doi: 10.1056/NEJMoa1110855.
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Canadian Contraception Consensus (Part 2 of 4).加拿大避孕共识(共四部分,第二部分)
J Obstet Gynaecol Can. 2015 Nov;37(11):1033-9. doi: 10.1016/s1701-2163(16)30054-8.
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Canadian Contraception Consensus (Part 1 of 4).加拿大避孕共识(共4部分,第1部分)
J Obstet Gynaecol Can. 2015 Oct;37(10):936-42. doi: 10.1016/s1701-2163(16)30033-0.
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Meeting the Contraceptive Needs of a Community: Increasing Access to Long-Acting Reversible Contraception.满足社区的避孕需求:增加长效可逆避孕方法的可及性。
Mo Med. 2017 May-Jun;114(3):163-167.
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Long-acting reversible contraception immediately after medical abortion: systematic review with meta-analyses.药物流产后立即使用长效可逆避孕措施:系统评价与荟萃分析。
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Familiarity and acceptability of long-acting reversible contraception and contraceptive choice.长效可逆避孕措施的熟悉度和可接受性以及避孕方法的选择。
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Women's Use of Long-Acting Reversible Contraception for Birth Timing and Birth Stopping.女性使用长效可逆避孕措施来控制生育时间和终止妊娠。
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Factors associated with postpartum use of long-acting reversible contraception.与产后使用长效可逆避孕措施相关的因素。
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Int J Mol Sci. 2025 Jun 12;26(12):5646. doi: 10.3390/ijms26125646.
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Missed Diagnosis of Perforation and Intraperitoneal Migration of an Intrauterine Device and Its Management in a Resource-Limited Setting: A Case Report.资源有限环境下宫内节育器穿孔及腹腔内移位的漏诊及其处理:一例报告
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