The realities of contemporary counseling and the informed choice of vaginal hormonal contraception

DOI

https://dx.doi.org/10.18565/aig.2020.9.208-216

Aganezova N.V., Aganezov S.S.
I.I. Mechnikov North-Western State Medical University, Ministry of Health of the Russian Federation, Saint Petersburg, Russia

The review presents the data of experts from the World Health Organization on the medical, ethical, and socio-economic aspects of pregnancy planning. It reflects the principles of contemporary counseling of patients when choosing a method for preventing unwanted pregnancy, as well as the urgency of the problem for Russia. The review gives the results of studying the advantages of a monthly regimen of the contraceptive vaginal ring NuvaRing versus a daily regimen of combined oral contraceptives: the higher contraceptive effectiveness in real clinical practice; optimal cycle control; fewer side effects, such as nausea/vomiting, mastalgia. The authors notice the minimal systemic effect of NuvaRing on the body, as well as the metabolic neutrality of the drug. The review presents the study data on the absence of a negative effect of the contraceptive ring on vaginal microbiocenosis, cervical mucosa, and sexual life. There is information on the availability of the NuvaRing applicator to ease the insert of the ring into the vagina. The paper gives the study results on an about fourfold increase in the number of women who have chosen the vaginal contraceptive ring after structured counseling, compared to the initial desire to use combined oral contraceptives.
Conclusion. Contemporary structured counseling expands the possibilities of choosing a contraceptive method. The informed choice of vaginal hormonal contraception is optimal for women who are interested in the advantages of the monthly regimen of the contraceptive ring NuvaRing.

contraception counseling

contraceptive vaginal ring NuvaRing

combined oral contraceptives

Full text (in Russian)

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Received 20.08.2020

Accepted 08.09.2020

Natalia V. Aganezova, MD, Dr. Sci. (Med.), Associate Professor, Department of Obstetrics and Gynecology, North-Western State Medical University
named after I.I. Mechnikov. E-mail: aganezova@mail.ru. ORCID: 0000-0002-9676-1570; SPIN: 2961-5377.
191015, Russia, Saint-Petersburg, Kirochnaya st., 41.
Sergey S. Aganezov, MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, North-Western State Medical University named after I.I. Mechnikov.
E-mail: aganezov@mail.ru. ORCID: 0000-0002-3523-9922; SPIN: 8186-6778.

For citation: Aganezova N.V., Aganezov S.S. The realities of contemporary counseling and the informed choice of vaginal hormonal contraception.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 9: 208-216 (in Russian).
https://dx.doi.org/10.18565/aig.2020.9.208-216

The realities of contemporary counseling and the informed choice of vaginal hormonal contraception

Aganezova N.V., Aganezov S.S.

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