绝经前期的荷尔蒙避孕:需要考虑什么来指导选择
Tiziana Fidecicchi1,2, Marta Caretto1, Giulia Chen1
1Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Seminars in reproductive medicine
|September 19, 2025
概括
绝经前妇女需要专门的避孕建议. 选择正确的方法可以平衡症状管理,益处和风险,因为没有一种方法仅因年龄而异.
科学领域:
- 生殖健康 生殖健康
- 妇科 妇科 妇科 妇科
- 避孕药是一种避孕药,用于避孕.
背景情况:
- 绝经前妇女有独特的避孕需求和风险.
- 在这个年龄段的怀孕会带来更高的产科和胎儿并发症风险.
- 激素波动和无排卵周期会导致令人烦的绝经前期症状.
研究的目的:
- 审查绝经前妇女的避孕需求.
- 引导量身定制和知情的避孕选择.
- 解决选择激素避孕 (HC) 方法的问题.
主要方法:
- 关于绝经前避孕的当前文献的综述.
- 分析各种避孕方法的风险和益处.
- 为量身定制的避孕咨询提供准则.
主要成果:
- 避孕咨询应该是个性化的,评估需求,益处和风险.
- 没有一种避孕方法仅仅基于年龄的原因是禁忌的.
- 在40岁以后的组合激素避孕药中,如果不存在任何禁忌,自然雌激素是首选的.
- 只有孕激素的方法对心血管风险因素是安全的.
结论:
- 个性化避孕咨询对绝经前妇女至关重要.
- 选择荷尔蒙避孕药时应考虑个人的健康状况和风险因素.
- 对于绝经前妇女,有安全有效的避孕方法可供选择.
更多相关视频
08:46Fertility Preservation Through Oocyte Vitrification: Clinical and Laboratory Perspectives
Published on: September 16, 2021
6.6K
05:32Author Spotlight: Investigating the Relationship Between FSH and Pathophysiological Changes in Perimenopausal Women - Insights from a Mouse Model
Published on: August 11, 2023
2.5K
相关概念视频
Menopause
3.5K
Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
3.5K
Hormonal Regulation of the Menstrual Cycle
1.5K
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...
1.5K
Hormonal Control of the Ovarian Cycle
6.4K
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...
6.4K
Birth Control Methods
5.9K
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...
5.9K
Hormonal Regulation
47.8K
Hormones regulate a significant portion of digestion through activation of the neuroendocrine system. The neuroendocrine system of digestion contains many different hormones all with multiple functions that are both, directly and indirectly, involved in digestion.
47.8K
Hormonal Regulation
35.7K
The renin-aldosterone system is an endocrine system which guides the renal absorption of water and electrolytes, thus managing blood pressure and osmoregulation. Activation of the system begins in the kidneys with a small cluster of cells adjacent to the afferent and efferent blood vessels of the renal corpuscle. As the nephrons are filtering blood, juxtaglomerular cells monitor blood pressure. If they detect a decrease in pressure, they release the hormone renin into the bloodstream.
35.7K
