[使用荷尔蒙避孕来控制出血]
1Service de gynécologie, hôpital Nord, Marseille, France.
La Revue du praticien
|June 23, 2025
概括
通过荷尔蒙避孕来管理意外出血,包括排除怀孕和其他原因. 调整剂量,切换孕激素类型,或使用像特兰胺酸这样的药物可能会改善出血概况,尽管结果各不相同.
科学领域:
- 生殖医学 生殖医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 无计划出血是荷尔蒙避孕的常见副作用,可能会影响用户的遵守.
- 确定不规则出血的病因至关重要,包括排除有机原因,药物相互作用,感染和怀孕.
研究的目的:
- 审查使用荷尔蒙避孕药的妇女管理非计划出血的策略.
- 评估各种干预措施在改善出血概况方面的有效性.
主要方法:
- 对评估激素避孕相关出血治疗方法的研究的文献综述.
- 干预措施的分析,包括剂量调整,孕激素类型变化和药理疗法.
主要成果:
- 增加乙inylestradiol剂量或切换孕激素可以改善组合口服避孕药的出血模式.
- 特兰胺酸和NSAIDs为以格斯特勒植入物使用者提供了暂时的改善.
- 多西环素和米费普里斯顿在控制出血方面显示出有希望的结果.
结论:
- 激素避孕药引起的出血的管理策略是多样化的,有效性各不相同.
- 由于研究异质性,需要进一步的研究,但具体的干预措施显示了改善出血概况的潜力.
关键词:
荷尔蒙避孕药是一种荷尔蒙避孕药.更多相关视频
相关概念视频
Birth Control Methods
3.1K
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...
3.1K
Hormonal Regulation of the Menstrual Cycle
725
The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
725
Disorders of Hemostasis
1.2K
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
1.2K
Esophageal Varices-II: Clinical Features and Management
149
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
149
Venous Thrombosis IV: Nursing Management
27
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
27
Hormonal Regulation of Blood Pressure
3.2K
Endocrinal or hormonal intervention in the cardiovascular system is predominantly exerted by the catecholamines - epinephrine and norepinephrine, as well as a slew of hormones that interact with renal function to modulate blood volume.
Epinephrine and Norepinephrine
The adrenal medulla releases epinephrine and norepinephrine, catecholamines that enhance and extend the sympathetic or "fight or flight" physiological response. These hormones escalate heart rate and the force of contraction...
Epinephrine and Norepinephrine
The adrenal medulla releases epinephrine and norepinephrine, catecholamines that enhance and extend the sympathetic or "fight or flight" physiological response. These hormones escalate heart rate and the force of contraction...
3.2K


