避孕对宫性阴道微生物群的影响:包括随机试验在内的最近证据
Christina Balle1, Anna-Ursula Happel1,2, Renee Heffron3
1Division of Immunology, Department of Pathology, University of Cape Town, Rondebosch, Western Cape, South Africa.
American journal of reproductive immunology (New York, N.Y. : 1989)
|October 26, 2023
概括
像植入物和注射等避孕药不会改变阴道微生物群. 然而,铜IUD可能会增加细菌性阴道炎的风险,强调需要进一步研究荷尔蒙避孕药的影响.
科学领域:
- 微生物学 微生物学
- 妇科 妇科 妇科 妇科
- 生殖健康 生殖健康
背景情况:
- 对非屏障避孕药和粘膜微生物群的观察性研究受到行为混因素的限制.
- 最近的证据强调随机试验,以准确评估避孕效应.
研究的目的:
- 审查目前关于避孕药如何影响宫和阴道微生物组的证据.
- 突出随机对照试验的发现.
主要方法:
- 对最近的科学文献进行叙述性回顾.
- 重点是随机试验的数据.
主要成果:
- 长效的仅含孕激素的避孕药 (例如,莱沃诺格斯特勒植入物,DMPA-IM,NET-EN) 不会改变粘膜微生物群.
- 口服避孕药 (OCPs) 与阴道微生物组变化或增加性传播疾病风险没有强烈的关联.
- 铜子宫内置器 (Cu-IUD) 与细菌性阴道炎 (BV) 的获得有关;LNG-IUD需要进一步评估.
结论:
- 荷尔蒙避孕药对微生物群有不同的影响,需要对新方法进行严格的评估.
- 了解不同避孕药输送系统的生物影响对于开发新避孕药和改善计划生育指南至关重要.
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