Reasonable solution: careful contraception for complex patients

Any doctors have a patient with chronic diseases, which, alas, often exacerbate due to an inefficiently solved contraception issue. As a means of choice for this kind of patients on the past symposium "New technologies to help practicing a doctor" was proposed an intrauterine hormonal system. Since it acts locally - in the uterine cavity, then systemic effect on the body is minimal.

Content

In practice, a physician of any specialization meet a variety of patients. Some sometimes just enough care and participation in order to restore sincere equilibrium and dispersed psychosomatics, and some need quick and specific solutions, because time is not waiting. And when the patient needs help, it is important not only to harm him, appointing a certain drug, it is important to teach the patient not to harm yourself.

Women more often appeal to doctors. And not only on women's issues. They are more open and, probably, more responsible in relation to their health. From female patients, you can often hear: «I can not hurt - I have a family!» or vice versa, « I have such a disease! Where else to give birth?!». Disease and family, illness and personal life. Sometimes they are incompatible, sometimes just harm each other. But after all, a personal life has the right to every woman regardless of the concomitant disease.

Contraception for women with chronic diseases

Both endocrinologists and cardiologists and any other doctors have patients with chronic diseases that, alas, often exacerbate due to an inefficiently solved contraception issue. Stress on unplanned pregnancy, meditation, the decision to interrupt it, the abortion itself and the consequences of an abortion can be extremely negatively affecting the health of women with concomitant pathology, often aggravating a chronic disease. Therefore, when observing women with such diseases, such as diabetes, cardiovascular pathologies, other exchange disorders, combined efforts and a specialist practitioner, and a gynecologist are very important.

It is imperative to choose the contraceptive that:

This question was reviewed on the symposium «New technologies to help practitioner doctor», held at the end of September as part of the XI All-Russian Forum «Mother and child». As a means of choice for the prevention of patients of a high risk group for extragationalital pathology, an intrauterine hormonal system was proposed.

The principle of its action lies in the fact that the contraceptive is placed directly into the uterine cavity, where there is a protective effect. It is a plastic reservoir with a gestagenom, which, after administration, the uterus is released by microscopic doses at a speed of 20 mkg \ day and has a local contraceptive and therapeutic effect.

Professor E.BUT. Mezhitinova opened a symposium, summarizing the twenty-year experience of using the system worldwide and twelve-year experience in Russia. Many studies talk about the essential advantages of this method for women from risk groups.

Since the system has a local - in the uterine cavity, the system influence on the body is minimal. Therefore, it can be used not only for healthy women, but also Extgazenital pathology, For example, with such states as:

If the possible benefit from the use of the system exceeds the risk of its use, it is allowed to be installed to patients with:

The intrauterine hormonal system has therapeutic effects and when used in patients with Gynecological Anamnesis. So, Professor Chernuha G.E in his report illuminated the possibilities of therapeutic use of the intrauterine system:

Research touched upon such a topic as a decrease in inflammatory diseases of the small pelvis organs when using the intrauterine system. Professor Maltseva L.BUT.. The data of the comparative study of copper-containing and hormonal intrauterine contraceptives has demonstrated. As it turned out, when using an intrauterine system, the frequency of the occurrence of inflammatory diseases of the small pelvis was significantly lower. This is explained by the fact that the Levonorgestrel thickens a cervical mucus, preventing spermatozoa, but also pathogenic microorganisms in the cavity of the uterus

Despite the fact that all the speakers brought these studies, showing the possibilities of protective effects of the intrauterine system to the body of a woman, professor of the Occale.BUT. managed to shock those present by their research. She led to convincing evidence that the intrauterine system improves the month of subsequent pregnancy. In women who used Levonorgestrel - a subsequent pregnancy containing an intrauterine system proceeded better than in women after copper-containing intrauterine spirals: with a lesser frequency of the threat of pregnancy in the 1st trimester, delays in the development of the fetus, rapid labor. More qualitative characteristics of newborns were registered.

These properties of the intrauterine system, according to researchers, are due to its specific influence on the endometrium, the suppression of the functional activity of which causes the therapeutic effect and prepares the woman's body to subsequent pregnancy.

Many patients and so difficult fate. But you can improve the quality of their life, not depriving joys, while maintaining their health. Let contraception be not only reliable, but also careful, but pregnancy only conscious and desirable!

* Based on l l.AND. Maltseva «Features of the microbiological spectrum and morphological characteristics of endometrial in women with bacterial vaginosis in history using various types of intrauterine contraceptives.» Maltseva L.AND., Shustova L.IN., Gafarov E.BUT. Journal of Female Diseases and Perinatology 2009.