避孕措施的使用和新诊断乳腺癌的年轻女性的变化
Megan E Tesch1, Kimia Sorouri2, Yue Zheng3
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts; Breast Oncology Program, Dana-Farber Brigham Cancer Center, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Fertility and sterility
|September 21, 2024
概括
大多数患有早期乳腺癌的年轻女性使用避孕措施,但近一半的人在诊断后选择更不有效的方法. 改善的避孕咨询对这一群体至关重要.
科学领域:
- 在瘤学瘤学.
- 生殖健康 生殖健康
- 临床试验 临床试验
背景情况:
- 被诊断为乳腺癌的年轻女性面临着独特的挑战,包括生殖健康问题.
- 避孕措施的使用和诊断后的变化是这群人群的关键因素.
研究的目的:
- 评估早期被诊断患有乳腺癌的年轻女性的避孕措施使用和变化.
- 确定与选择避孕方法和诊断后变化相关的因素.
主要方法:
- 一个集群随机试验的二次分析,涉及312名年龄≤45岁的新诊断乳腺癌的女性.
- 在诊断前和入学后3个月使用调查评估了避孕措施.
- 后勤回归模型确定了与使用低于高效的方法和方法变化相关的因素.
主要成果:
- 88%的妇女在诊断后使用避孕措施,比诊断前的83%增加.
- 使用高效方法的比例从39%上升到52%,而使用中度有效方法的比例则从22%下降到3%.
- 不太有效的方法从22%增加到34%;对儿童和提供者讨论的愿望与不太有效的方法使用有关.
结论:
- 尽管越来越多地使用高效的避孕方法,但有很大一部分患有乳腺癌的年轻女性仍使用不那么有效的方法.
- 对于被诊断患有乳腺癌的年轻女性来说,早期和增强的避孕咨询是必不可少的,以确保最佳的避孕方法选择.
更多相关视频
相关概念视频
Birth Control Methods
214
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
214
Infertility in Females
288
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
288
Hormonal Control of the Ovarian Cycle
439
The ovarian cycle is meticulously regulated by the hypothalamic-pituitary-gonadal axis. This cycle orchestrates the release of a mature oocyte, essential for reproduction.
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
439
Disorders of the Female Reproductive System
334
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
334
Cancer Prevention
6.1K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.1K
Cancer Therapies
7.6K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.6K


