用于紧急避孕的不同形式的levonorgestrel和铜子宫内器械的比较:系统性审查和元分析
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A New Portable In Vitro Exposure Cassette for Aerosol Sampling
Published on: February 22, 2019
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Giovana de Souza Gaio1, Frederico Kemczenski1, Gabriel Erzinger1
1University of Joinville's Region, Department of Medicine, Joinville, Santa Catarina, Brazil.
European journal of obstetrics, gynecology, and reproductive biology
|December 19, 2024
概括
铜子宫内置器 (Cu-IUD) 在紧急避孕中比levonorgestrel方法更有效. 虽然在长期预防方面非常有效,但女性仍然更喜欢口服的levonorgestrel用于立即使用.
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.
- 妇科 妇科 妇科 妇科
背景情况:
- 紧急避孕 (EC) 对于防止未经保护的性行为后怀孕至关重要.
- 铜子宫内置器 (Cu-IUD) 提供长期,高效的避孕措施.
- 基于Levonorgestrel的方法也用于EC.
研究的目的:
- 为了比较Cu-IUD与含有levonorgestrel的紧急避孕方法的有效性和安全性.
- 为了评估这些EC方法之间的副作用和用户偏好.
主要方法:
- 进行了系统审查和元分析.
- 在PubMed,Embase和Cochrane控制试验中央注册表中进行了搜索.
- 其中包括5项研究,涉及1510名参与者.
主要成果:
- 在预防怀孕方面,Cu-IUD表现出比levonorgestrel方法 (OR=0.16) 更高的有效性.
- 妇女在经过EC后更喜欢levonorgestrel方法 (OR=0.29).
- 在EC后的Cu-IUD组中观察到更高的有效避孕使用率 (OR=2.93).
结论:
- Cu-IUD是非常有效的紧急避孕选择,提供延长的避孕效益.
- 尽管它的有效性,口服利沃诺格斯特雷尔仍然是女性喜欢的EC方法.
- 这两种方法在有效性和用户偏好方面都有明显的优势.
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