在使用避孕植入物时治疗出血不规则:系统性审查
Megan A Cohen1, Emily M Snyder2, Kathryn M Curtis3
1Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA, United States; Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, United States.
Contraception
|November 26, 2025
概括
通过避孕植入物来管理出血不规则,可以通过诸如赛莱科西布,美芬胺酸,他莫西芬和乌利普里斯塔酸盐等选择来改善. 这些治疗方法显示出更好的出血模式和患者满意度的希望.
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.
- 药理学 药理学是指药理学的学科.
背景情况:
- 避孕植入物是一种流行的长效可逆避孕方法.
- 血流不规则是使用避孕植入物的常见副作用.
- 对出血不规则的有效管理策略对于持续坚持避孕措施至关重要.
研究的目的:
- 系统地审查随机临床试验,以管理在使用避孕药植入物时的出血不规则.
- 评估各种干预措施对出血模式和患者满意度的有效性.
- 确定不同治疗选择的证据的确定性.
主要方法:
- 在2022年11月之前,对多个数据库进行系统的文献搜索.
- 包括随机临床试验,评估出血不规则的治疗方法.
- 结果的叙述总结和对偏见风险和证据确定性的评估.
主要成果:
- 包括21篇文章,偏差风险从高到低不等.
- 与安慰剂相比,切莱科西布,美芬胺酸,塔莫西芬和乌利普里斯塔酸乙酸一般改善了出血模式.
- 特兰胺酸,乙乙醇和联合口服避孕药仅在治疗期间表现出改善;其他干预措施的有效性不一致.
结论:
- 一些干预措施,包括他莫西芬和乌利普里斯塔酸盐,改善了患者对出血模式的满意度.
- 医疗服务提供者可以根据患者的偏好和目标,为患者提供治疗选择的建议.
- 需要对具体干预措施,剂量和患者满意度结果进行进一步的研究.
更多相关视频
相关概念视频
Birth Control Methods
5.8K
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...
5.8K
Venous Thrombosis IV: Nursing Management
188
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,...
188
Esophageal Varices-II: Clinical Features and Management
349
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...
349
Disorders of Hemostasis
2.0K
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.
2.0K
Antiplatelet Drugs: Prostaglandin Synthesis, P2Y12 and Glycoprotein IIb/IIIa Inhibitors
1.1K
Antiplatelet drugs emerge as frontline defenders against the insidious threat of thromboembolic diseases, where abnormal clots obstruct vital blood vessels. These drugs stand as bulwarks, inhibiting platelet aggregation and clot formation, thereby mitigating the risk of life-threatening conditions like myocardial infarction, coronary artery disease, and thrombotic strokes.
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
1.1K


