避免意外怀孕在从铜子宫内置装置过渡到伊格斯特勒避孕植入物:一个案例报告
Elisabeth Sulger1, Christina Jung2, Siripanth Nippita2
1Department of Obstetrics and Gynecology, NYU Long Island School of Medicine, Mineola, NY, USA.
Contraception
|May 31, 2023
概括
从铜子宫内置器切换到乙凝植入物导致意外怀孕. 在不抑制排卵的方法之间转换时,建议使用备用避孕措施.
科学领域:
- 生殖健康 生殖健康
- 避孕药是一种避孕药,用于避孕.
- 临床妇科 临床妇科
背景情况:
- 铜子宫内装置 (IUD) 是一种长效可逆避孕药 (LARC),通过非荷尔蒙机制防止怀孕.
- 乙格斯特勒皮下植入物是另一种LARC方法,它提供持续的荷尔蒙避孕,主要是通过抑制排卵.
研究的目的:
- 在从铜IUD转换为乙格斯特勒植入物后报告意外怀孕的情况.
- 强调在为患者提供避孕方法转换咨询时考虑抑制排卵的重要性.
主要方法:
- 病例报告详细说明患者的避孕史和妊娠结果.
- 对避孕措施的作用机制和过渡协议的审查.
主要成果:
- 患者在取出铜IUD并插入乙格斯特勒植入物后不久就怀孕了.
- 如果在过渡期内没有抑制排卵,则etonogestrel植入物可能无法提供立即的避孕覆盖.
结论:
- 从铜IUD等非排卵抑制方法过渡到像etonogestrel植入物这样的方法需要谨慎的时间和潜在的备用避孕措施.
- 临床医生应对避孕药的转换提供全面的咨询,强调在必要时一致使用和备用方法的重要性.
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