子宮内器具と上生殖器系感染症
1Family Health International, Research Triangle Park, North Carolina 27709, USA. dgrimes@fhi.org
Lancet (London, England)
|October 21, 2000
まとめ
子宮内避妊器 (IUD) は,これまで考えられていたよりも安全であり,感染や不妊のリスクが有意に増加していないことを示す証拠があります. 現代のIUDは,改善された安全性プロファイルを持つ管内滅菌に匹敵する有効性を提供しています.
科学分野:
- 生殖器保健は,生殖器の健康についてです.
- 感染症 感染症は感染症です.
- 婦人科 婦人科について
背景:
- 子宮内避妊器 (IUD) に関連する上部生殖器系感染症と不妊に関する懸念は,その広範な採用を制限しています.
- 既存の研究は,方法論的な限界のためにリスクを過大評価する可能性があります.
研究 の 目的:
- 子宮内避妊器 (IUD) に関連する感染症と不妊に関する証拠を体系的に検討する.
- IUDの使用が生殖健康に及ぼす実際のリスクを明らかにする.
主な方法:
- 既存の研究の体系的なレビュー.
- 性行為や既にある感染症などの混同要因を制御するデータの分析.
- 特定の集団に関するコホート研究を含む,例えば,HIV陽性女性.
主要な成果:
- IUD使用者のサルピング炎の明らかなリスクは,不適切な比較グループと過剰診断によって誇張されることがあります.
- 感染のリスクは,IUDを使用していない感染した女性と比較できます; HIV陽性女性の合併症やウイルス発散の有意な増加はありません.
- 公正な証拠は,IUDの使用が管内不妊に有意な影響を及ぼさないことを示唆しています.
結論:
- 現代のIUDは,これまで考えられていたよりも効果的で安全で,管内不妊化に匹敵する.
- 研究設計の方法論的改善は,IUDの正確なリスク評価に不可欠です.
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