Issues of acceptability and safety when choosing combined oral contraceptives

Dovletkhanova E.R., Mgeryan A.N., Abakarova P.R.

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation, Moscow
Combined oral contraceptives (COCs) are one of the most effective hormonal contraceptive drugs. Voluntary conscious choice of a particular method is an important guiding principle; and counseling plays a fundamental role in the successful use of contraceptive methods. A number of side effects of COCs limit their use in certain categories of patients. The use of WHO recommendations for each nosological entity (the 2015 medical eligibility criteria for using contraceptive methods) assists in individualizing the choice of a contraceptive and in avoiding serious risks. It should be noted that the use of a COC makes it possible to obtain the necessary therapeutic and/or prophylactic effect in addition to its contraceptive one.

Keywords

contraception
combined oral contraceptives
ethinyl estradiol
drospirenone

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Received 18.04.2019

Accepted 19.04.2019

About the Authors

Dovletkhanova, Elmira R., PhD, senior researcher, Scientific Polyclinic Department, National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954387747. E-mail: e_dovletkhanova@oparina4.ru
Mgeryan, Anna N.,PhD, researcher, Scientific Polyclinic Department, National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954387747. E-mail: a_mgeryan@oparina4.ru
Abakarova, Patimat R., PhD, researcher, Scientific Polyclinic Department, National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. Tel.: +74954387747. E-mail: a_abakarova@oparina4.ru

For citation: Dovletkhanova E.R., Mgeryan A.N., Abakarova P.R. Issues of acceptability and safety when choosing combined oral contraceptives. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; (4): 79-86. (in Russian)
https://dx.doi.org/10.18565/aig.2019.4.79-86.

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