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[Modern aspects of contraception].

W Moser

    Wiener Medizinische Wochenschrift (1946)
    |June 30, 1986
    PubMed
    Summary

    Current contraceptive research has yet to find an ideal method. This review assesses the pros and cons of available safe contraception, including oral contraceptives, intrauterine devices, and sterilization.

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    Area of Science:

    • Reproductive Health
    • Contraception Research
    • Family Planning

    Context:

    • Global contraception research has spanned 25 years without identifying an ideal method.
    • Existing safe contraceptive methods require careful evaluation of their benefits and risks.

    Purpose:

    • To critically assess the advantages and disadvantages of currently available "safe" contraceptive methods.
    • To provide recommendations for the controlled use of ovulation inhibitors, considering specific populations.

    Summary:

    • Oral contraceptives offer high safety and ease of use, with risks minimized by low hormone dosages. Intrauterine devices (IUDs) present higher failure and complication rates, especially for nulliparous women. Sterilization (tubal sterilization or vasectomy) is presented as an ideal, definitive method post-family planning.
    • The review discusses progestagen-only contraception and emergency contraception methods (hormonal and IUD insertion).
    • Specific considerations for ovulation inhibitor use in adolescents, women nearing reproductive age, and those with diabetes mellitus are addressed.

    Impact:

    • Informs healthcare providers and individuals about the comparative efficacy, safety, and risks of various contraceptive options.
    • Aids in informed decision-making for selecting appropriate contraception based on individual needs and health status.
    • Highlights areas for improvement in contraceptive development and patient counseling regarding long-term use and potential complications.

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