生殖计划:长效可逆避孕药和紧急避孕药
Samantha Glass1, Megan L Wilson2, Emily M Godfrey3
1Department of Family Medicine and Community Health - Institute for Family Health-Harlem Family Medicine Residency, New York.
FP essentials
|March 18, 2024
概括
长效可逆避孕药 (LARCs),如IUD和植入物,提供非常有效的长期避孕. 家庭医生应使用共享决策和国家指导方针来安全地处方LARC.
科学领域:
- 生殖健康 生殖健康
- 家庭医学 家庭医学 家庭医学
- 避孕药是一种避孕药,用于避孕.
背景情况:
- 长效可逆避孕药 (LARCs) 包括孕激素和铜子宫内装置 (IUD) 以及孕激素皮下植入物.
- LARCs适合寻求高效,长期避孕或当雌激素是禁忌的个人.
- 历史上的强制性使用LARCs需要共同的决策方法,以确保患者的自主权.
研究的目的:
- 通知家庭医生关于LARCs的安全处方和可访问性.
- 突出基于证据的国家指导方针对LARC提供的重要性.
- 确保对LARC插入,移除,并发症和不良影响进行全面的患者咨询.
主要方法:
- 审查美国医疗资格标准的避孕使用 (美国MEC).
- 美国政府的审查. 避孕使用的选择实践建议 (美国SPR).
- 强调共享决策和全面的患者咨询.
主要成果:
- LARCs提供高效,长期可逆避孕.
- 孕激素和铜IUD均可作为紧急避孕措施使用.
- 口服紧急避孕方案也可供选择.
结论:
- 家庭医生必须了解美国MEC和美国SPR,以确保安全的LARC处方.
- 共享决策对于尊重患者的自主权和克服历史障碍至关重要.
- 综合咨询对于患者对LARC方法的知情选择至关重要.
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