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[Hormonal contraception - possibilities and problems].

G Göretzlehner

    Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
    |November 15, 1983
    PubMed
    Summary
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    Hormonal contraceptives are a secure method for pregnancy prevention. This review covers available types in the GDR, emphasizing individualized prescription based on symptoms and risk assessment for cardiovascular mortality.

    Area of Science:

    • Gynecology and Reproductive Health
    • Pharmacology
    • Public Health

    Context:

    • Hormonal contraceptives are widely used for pregnancy prevention.
    • The German Democratic Republic (GDR) had various hormonal contraceptive options available.
    • Long-term use and evolving contraceptive technologies necessitate ongoing risk-benefit analysis.

    Purpose:

    • To review the hormonal contraceptives available in the GDR, including combination pills, sequential pills, the minipill, and postcoital contraception.
    • To discuss the appropriate prescription of these methods based on patient history and hormone-dependent symptoms.
    • To analyze the safety, tolerability, and mortality risks associated with hormonal contraceptive use, particularly cardiovascular risks.

    Summary:

    • The article details hormonal contraceptive options in the GDR, stressing the importance of personalized prescription based on anamnesis and symptoms.

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  • It covers intake, reliability, monitoring, intermittent use, prescription for young women, and classification of side effects by clinical significance.
  • Assessment of safety and tolerability considers clinical studies, epidemiological data, and potential misinterpretations, focusing on mortality risks for cardiovascular diseases.

    • Impact:

    • Highlights the need for preparation-specific risk differentiation beyond general hormonal contraceptive categories.
    • Recommends establishing mortality risks using GDR-specific cohort and trohoc studies.
    • Advocates for increased user responsibility and informed decision-making regarding hormonal contraceptive use.