Hankoff L D, Darney P D
Department of Psychiatry, Elizabeth General Medical Center, N.J.
Am J Obstet Gynecol. 1993 Jun;168(6 Pt 2):1986-9. doi: 10.1016/s0002-9378(12)90939-4.
Women with psychologic disturbances of depression, anxiety, or thought disorganization pose a special management problem when providing a safe and effective means of contraception. The difficulty is compounded by the fact that many mentally disturbed women also abuse drugs. Therefore, providing contraception to the many types of behaviorally disturbed women requires the full range of contraceptive options and protection from sexually transmitted diseases. When compliance can be assured, oral contraceptives are the preferred method. When compliance is questionable, progestin implants or injections may be tried. However, progestin-only preparations are associated with several side effects, including worsening of mood in depressive patients.
患有抑郁、焦虑或思维紊乱等心理障碍的女性在选择安全有效的避孕方式时会面临特殊的管理问题。许多精神障碍女性还滥用药物，这使得问题更加复杂。因此，为多种行为障碍女性提供避孕措施需要有全面的避孕选择，并预防性传播疾病。在能够确保依从性的情况下，口服避孕药是首选方法。当依从性存疑时，可以尝试使用孕激素植入剂或注射剂。然而，仅含孕激素的制剂会带来一些副作用，包括使抑郁患者的情绪恶化。
