Obstetrics and GynecologyObstetrics and GynecologyАкушерство и гинекология0300-90922412-5679Bionika Media24773310.18565/aig.2016.8.29-36ArticlesСтатьиResearch ArticleStrategy choice of hormonal contraception in women with androgen dependent dermopathy and associated diseasesСтратегия выбора гормональной контрацепции у женщин с андрогензависимыми дермопатиями и ассоциированными заболеваниямиKuznetsovaIrina V.КузнецоваИрина Всеволодовна

MD, PhD, Chief Researcher for Women’s Health Research Center, Research Department

д.м.н., профессор, г.н.с. НИО женского здоровья НИЦ

NabiyevaParvin A.НабиеваПарвин Асимовна

a graduate student of the Department of Endocrinology

аспирант кафедры эндокринологии

I.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaГБОУ ВПО Первый московский государственный медицинский университет им. И.М. Сеченова Минздрава России150820168NO8 (2016)№8 (2016)293618022023Copyright ©; 2016, Bionika MediaCopyright ©; 2016, ООО «Бионика Медиа»2016Bionika MediaООО «Бионика Медиа»https://journals.eco-vector.com/0300-9092/article/view/247733

Objective. To make a systematic review of the data available in the literature regarding the possibilities of hormonal contraception in women with androgen-dependent dermopathies. Material and methods. For analysis, foreign and Russian publications over the past 15 years were sought in the international citation system Pubmed. Results. The types of androgen-dependent dermopathies, their origin, and the mechanism of development are described; the endocrine and metabolic factors underlying the clinical symptoms of skin damage are discussed. The paper underlines the importance of diagnosis of the diseases, the symptoms of which are androgen-dependent dermopathies, and the need for symptomatic treatment of skin disorders due to their significant impact on the state of mind in women. Conclusion. The results of clinical trials that have shown the efficiency of using hormonal contraceptives to treat androgen-dependent dermopathies are analyzed. An algorithm for the individual choice of a drug in the context of the health status and wishes of a female patient is presented.

Цель исследования. Провести систематический анализ литературных данных относительно возможностей применения гормональной контрацепции у женщин с андрогензависимыми дермопатиями. Материал и методы. С целью проведения анализа был осуществлен поиск зарубежных и отечественных публикаций в международной системе цитирования Pubmed, опубликованных за последние 15лет. Результаты. Описаны формы андрогензависимых дермопатий, их происхождение и механизмы развития, обсуждены эндокринные и метаболические факторы, лежащие в основе клинических симптомов поражения кожи. Подчеркнута важность диагностики заболеваний, симптомами которых являются андрогензависимые дермопатии, а также необходимость симптоматического лечения кожных нарушений ввиду их серьезного влияния на психику женщин. Заключение. Проанализированы результаты клинических исследований, показавшие эффективность применения гормональных контрацептивов в лечении андрогензависимых дермопатий. Представлен алгоритм индивидуального выбора препарата с позиций статуса здоровья и пожеланий пациентки.

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