Obstetrics and GynecologyObstetrics and GynecologyАкушерство и гинекология0300-90922412-5679Bionika Media24835810.18565/aig.2018.10.129-135ArticlesСтатьиResearch ArticleCurrent possibilities of combined hormonal contraceptionСовременные возможности комбинированной гормональной контрацепцииAganezovaNatalia V.АганезоваНаталия Владимировна

MD, Associate Professor, Department of Obstetrics and Gynecology

д.м.н., доцент, профессор кафедры акушерства и гинекологии

aganezova@mail.ruAganezovSergey S.АганезовСергей Станиславович

PhD, Associate Professor, Department of Obstetrics and Gynecology

к.м.н., доцент кафедры акушерства и гинекологии

aganezov@mail.ruI.I. Mechnikov North-West State Medical UniversityФГБОУ ВО СЗГМУ им. И.И. Мечникова Минздрава России1510201810NO10 (2018)№10 (2018)12913418022023Copyright ©; 2018, Bionika MediaCopyright ©; 2018, ООО «Бионика Медиа»2018Bionika MediaООО «Бионика Медиа»https://journals.eco-vector.com/0300-9092/article/view/248358

The paper presents information about global trends in the use of combined hormonal contraception. It describes the evolutionary aspects of combined oral contraceptive pills and different modes of their use. The paper provides rationales for and benefits of a 91-day fixed extended contraceptive regimen using containing ethinyl estradiol and levonorgestrel. It also describes information on the efficacy, safety, and acceptability of the ethinyl estradiol and levonorgestrel combination with a 7-day continuation of low-dose ethinyl estradiol use. The authors discuss the issues of counseling of women opting for or already using a fixed extended hormonal contraception regimen.

В статье представлена информация о мировых тенденциях применения комбинированной гормональной контрацепции. Описаны эволюционные аспекты комбинированных оральных таблеток, различные режимы их использования. Приведены обоснования и преимущества фиксированного пролонгированного 91-дневного режима контрацепции с использованием препарата, содержащего этинилэстрадиол и левоноргестрел. Описаны сведения об эффективности, безопасности и приемлемости комбинации этинилэстрадиола и левоноргестрела с 7-дневным продолжением приема низких доз этинилэстрадиола. Обсуждаются вопросы консультирования женщин, выбирающих или уже применяющих фиксированный пролонгированный режим гормональной контрацепции.

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