Пролонгированный режим комбинированного орального контрацептива: фокус на профилактику воспалительных заболеваний органов малого таза
Пролонгированный режим комбинированного орального контрацептива: фокус на профилактику воспалительных заболеваний органов малого таза
Тапильская Н.И., Глушаков Р.И. Пролонгированный режим комбинированного орального контрацептива: фокус на профилактику воспалительных заболеваний органов малого таза. Гинекология. 2017; 19 (1): 15–20.
________________________________________________
Tapilskaya N.I., Glushakov R.I. Prolonged treatment of combined oral contraceptive: a focus on the prevention of inflammatory diseases of the pelvic organs.
Gynecology. 2017; 19 (1): 15–20.
Пролонгированный режим комбинированного орального контрацептива: фокус на профилактику воспалительных заболеваний органов малого таза
Тапильская Н.И., Глушаков Р.И. Пролонгированный режим комбинированного орального контрацептива: фокус на профилактику воспалительных заболеваний органов малого таза. Гинекология. 2017; 19 (1): 15–20.
________________________________________________
Tapilskaya N.I., Glushakov R.I. Prolonged treatment of combined oral contraceptive: a focus on the prevention of inflammatory diseases of the pelvic organs.
Gynecology. 2017; 19 (1): 15–20.
В статье представлены данные, касающиеся профилактических эффектов комбинированных оральных контрацептивов (КОК) в отношении рисков возникновения воспалительных заболеваний органов малого таза (ВЗОМТ), дополненные современными представлениями о влиянии КОК на состояние цервиковагинального лаважа, зависимости секреции противомикробных пептидов от фазы менструального цикла и приема КОК. Представлены данные метаанализов о снижении рецидивов бактериального вагиноза на фоне приема КОК, а также дано обоснование профилактического действия пролонгированного режима приема Джес® во флекс-картридже в отношении ВЗОМТ у женщин, нуждающихся в контрацепции. Ключевые слова: комбинированные оральные контрацептивы, воспалительные заболевания органов малого таза, бактериальный вагиноз, этинилэстрадиол, дроспиренон.
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The article presents data on preventive effects of combined oral contraceptives (COCs) with respect to the risks of inflammatory diseases of the pelvic organs (pelvic inflammatory disease – PID), complemented by modern ideas about the influence of COCs on the state of cervicovaginal lavage, depending on the secretion of antimicrobial peptides from the phase of the menstrual cycle and the use of COCs. The data meta-analysis to reduce the recurrence of bacterial vaginosis in patients receiving COCs, the justification of the preventive effect of the prolonged mode of Yaz® intake in a flex cartridge for PID in women in need of contraception is given.
Key words: combined oral contraceptives, inflammatory diseases of the pelvic organs, bacterial vaginosis, ethinyl estradiol, drospirenone.
1. Корхов В.В., Тапильская Н.И. Гестагены в акушерско-гинекологической практике: руководство для врачей. СПб.: СпецЛит, 2005./ Korkhov V.V., Tapil'skaia N.I. Gestageny v akushersko-ginekologicheskoi praktike: rukovodstvo dlia vrachei. SPb.: SpetsLit, 2005. [in Russian]
2. Савичева А.М. и др. Инфекционно-воспалительные заболевания в акушерстве и гинекологии. Под ред. Э.К.Айламазяна. М.: ГЭОТАР-Медиа, 2016. / Savicheva A.M. i dr. Infektsionno-vospalitel'nye zabolevaniia v akusherstve i ginekologii. Pod red. E.K.Ailamaziana. M.: GEOTAR-Media, 2016. [in Russian]
3. Тапильская Н.И., Карпеев С.А., Кузнецова И.В. Хронический эндометрит – субклиническое воспалительное заболевание органов малого таза. Гинекология. 2014; 16 (1): 104–9. / Tapilskaya N.I., Karpeev S.A., Kuznetsova I.V. Subclinical inflammatory diseases of the pelvic organs: chronic endometritis. 2014; 16 (1): 104–9. [in Russian]
4. Abbott DS, Chin-Smith EC, Seed PT et al. Raised trappin2/elafin protein in cervico-vaginal fluid is a potential predictor of cervical shortening and spontaneous preterm birth. PLoS One 2014; 9: e100771.
5. Andrist LC, Arias RD, Nucatola D et al. Women’s and providers’ attitudes toward menstrual suppression with extended use of oral contraceptives. Contraception 2004; 70: 359–63.
6. Baeten JM, Nyange PM, Richardson BA et al. Hormonal contraception and risk of sexually transmitted disease acquisition: results from a prospective study. Am J Obstet Gynecol 2001; 185 (2): 380–5.
7. Bradshaw CS, Brotman RM. Making inroads into improving treatment of bacterial vaginosis–striving for long-term cure. BMC Infect Dis 2015; 15 (1): 292.
8. Bradshaw CS, Vodstrcil LA, Hocking JS et al. Recurrence of bacterial vaginosis is significantly associated with posttreatment sexual activities and hormonal contraceptive use. Clin Infect Dis 2013; 56 (6): 777–86.
9. Burgener A, Rahman S, Ahmad R et al. Comprehensive proteomic study identifies serpin and cystatinantiproteases as novel correlates of HIV-1 resistance in the cervicovaginal mucosa of female sex workers. J Proteome Res 2011; 10: 5139–49.
10. Burkman RT. Oral contraceptives: current status. Clin Obstet Gynecol 2001; 44 (1): 62–72.
11. Calzolari E, Masciangelo R, Milite V, Verteramo R. Bacterial vaginosis and contraceptive methods. Int J Gynecol Obstet 2000; 70 (3): 341–6.
12. Cauci S, Culhane JF. Modulation of vaginal immune response among pregnant women with bacterial vaginosis by Trichomonasvaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae, and yeast. Am Journal Obstet Gynecol 2007; 196 (2): 133-e1.
13. Cicinelli E, Ballini A, Marinaccio M et al. Microbiological findings in endometrial specimen: our experience. Arch Gynecol Obstet 2012; 285 (5): 1325–9.
14. Cole AM. Innate host defense of human vaginal and cervical mucosae. Curr Top MicrobiolImmunol 2006; 306: 199–230.
15. Cole AM, Cole AL. Antimicrobial polypeptides are key anti-HIV-1 effector molecules of cervicovaginal host defense. Am J Reprod Immunol 2008; 59: 27–34.
16. Cowling P, McCoy DR, Marshall RJ et al. Bacterial colonization of the nonpregnant uterus: a study of pre-menopausal abdominal hysterectomy specimens. Eur J Clin Microbiol Infect Dis 1992; 11 (2): 204–5.
17. Dasari S, Pereira L, Reddy AP et al. Comprehensive proteomic analysis of human cervical-vaginal fluid. J Proteome Res 2007; 6: 1258–68.
18. Doerflinger SY, Throop AL, Herbst-Kralovetz MM. Bacteria in the vaginal microbiomealter the innate immune response and barrier properties of the human vaginal epithelia in a species-specific manner. J Infect Dis 2014; 209: 1989–99.
19. Drannik AG, Nag K, Sallenave JM, Rosenthal KL. Antiviral activity of trappin-2 and elafin in vitro and in vivo against genital herpes. J Virol 2013; 87: 7526–38.
20. Eschenbach DA, Harnisch JP, Holmes KK. Pathogenesis of acute pelvic inflammatory disease: role of contraception and other risk factors. Am J Obstet Gynecol 1977; 128 (8): 838–50.
21. Ferrero S, Abbamonte LH, Giordano M et al. What is the desired menstrual frequency of women without menstruationrelated symptoms? Contraception 2006; 73: 537–41.
22. Frew L, Makieva S, McKinlay AT et al. Human cathelicidin production by the cervix. PLoS One 2014; 9: e103434.
23. Ghosh M. Secreted mucosal antimicrobials in the female reproductive tract that are important to consider for HIV prevention. Am J Reprod Immunol 2014; 71: 575–88.
24. Ghosh M, Shen Z, Schaefer TM et al. CCL20/MIP3alpha is a novel anti-HIV-1 molecule of the human female reproductive tract. Am J Reprod Immunol 2009; 62: 60–71.
25. Grio R, Latino MA, Leotta E et al. Sexually transmitted diseases and pelvic inflammatory disease. Minerva ginecologica 2004; 56 (2): 141–7.
26. Guthrie BL, Introini A, Roxby AC et al. Depot medroxyprogesterone acetate use is associated with elevated innate immune effector molecules in cervicovaginal secretions of HIV-1-uninfected women. J Acquir Immune Defic Syndr 2015; 69 (1): 1–10.
27. Hebb JK, Cohen CR, Astete SG et al. Detection of novel organisms associated with salpingitis, by use of 16S rDNA polymerase chain reaction. J Infect Dis 2004; 190 (12): 2109–20.
28. Holzman C, Leventhal JM, Qiu H et al. Grp BVS. Factors linked to bacterial vaginosis in nonpregnant women. Am J Public Health 2001; 91 (10): 1664–70.
29. Horne AW, Stock SJ, King AE. Innate immunity and disorders of the female reproductive tract. Reproduction 2008; 135: 739–49.
30. Huber JC, Bentz EK, Ott J, Tempfer CB. Non-contraceptive benefits of oral contraceptives. Exp Opin Pharmacother 2008; 9 (13): 2317–25.
31. Kaunitz AM. Oral contraceptive health benefits: perception versus reality. Contraception 1999; 59 (Suppl. 1): 29S–33S.
32. Kawano Y, Nakamura S, Nasu K et al. Expression and regulation of thrombospondin-1 by human endometrial stromal cells. Fertil Steril 2005; 83: 1056–9.
33. Klipping C, Duijkers I, Fortier MP et al. Long-term tolerability of ethinylestradiol 20 μg/drospirenone 3 mg in a flexible extended regimen: results from a randomised, controlled, multicentre study. J Fam Plann Reprod Health Care 2012; 38: 84–93.
34. Klipping C et al. Contraceptive efficacy and tolerability of ethinylestradiol 20μg/drospirenone 3 mg in a flexible extended regimen: an open-label, multicentre, randomised, controlled study. J Fam Plann Reprod Health Care 2012; 38: 73–83.
35. Klotman ME, Chang TL. Defensins in innate antiviral immunity. Nat Rev Immunol 2006; 6: 447–56.
36. Legro RS, Pauli JG, Kunselman AR et al. Effects of continuous versus cyclical oral contraception: a randomized controlled trial. J Clin Endocrinol Metab 2008; 93: 420–9.
37. Lourenco AG, Komesu MC, Machado AA et al. Semen lactoferrin promotes CCL20 production by epithelial cells: involvement in HIV transmission. World J Virol 2014; 3: 11–7.
38. Michel KG, Huijbregts RP, Gleason JL et al. Effect of hormonal contraception on the function of plasmacytoid dendritic cells and distribution of immune cell populations in the female reproductive tract. J Acquir Immune Defic Syndr 2015; 68 (5): 511–8.
39. Mоller BR, Kristiansen FV, Thorsen P et al. Sterility of the uterine cavity. Acta Obstet Gynecol Scand 1995; 74 (3): 216–9.
40. Morrison C, Fichorova RN, Mauck C et al. Cervical inflammation and immunity associated with hormonal contraception, pregnancy, and HIV-1 seroconversion. J Acquir Immune Defic Syndr 2014; 66 (2):109–17.
41. Okumura K, Ikeda S, Ogawa H. Host defense (antimicrobial) peptide, human beta-defensin-3, improves the function of the epithelial tight-junction barrier in human keratinocytes. J Invest Dermatol 2014; 134: 2163–73.
42. Peterson HB, Lee NC. The health effects of oral contraceptives: Misperceptions, controversies, and continuing good news. Clin Obstet Gynecol 1989; 32: 339–55.
43. Riggs M, Klebanoff M, Nansel T et al. Longitudinal association between hormonal contraceptives and bacterial vaginosis in women of reproductive age. Sex Transm Dis 2007; 34 (12): 954–9.
44. Rifkin SB, Smith MR, Brotman RM et al. Hormonal contraception and risk of bacterial vaginosis diagnosis in an observational study of women attending STD clinics in Baltimore. MD Contracept 2009; 80 (1): 63–7.
45. Romero R, Hassan SS, Gajer P et al. The composition and stability of the vaginal microbiota of normal pregnant women is different from that of non-pregnant women. Microbiome 2014; 2: 4.
46. Ruan X, Mueck AO. Oral contraception for women of middle age. Maturitas 2015; 82 (3): 266–70.
47. Rubin GL, Ory HW, Layde PM. Oral contraceptives and pelvic inflammatory disease. Am J Obstet Gynecol 1982; 144 (6): 630–5.
48. Schindler AE. Non-Contraceptive Benefits of Oral Hormonal Contraceptives. Int J Endocrinol Metab 2013; 11 (1): 41–7.
49. Sharma H, Tal R, Clark NA, Segars JH. Microbiota and pelvic inflammatory disease. Semin Reprod Med 2014; 32: 43–9.
50. Swidsinski A, Verstraelen H, Loening-Baucke V et al. Presence of a polymicrobial endometrial biofilm in patients with bacterial vaginosis. PLoS One 2013; 8 (1): e53997.
51. Tibaldi C, Cappello N, Latino MA et al. Vaginal and endocervical microorganisms in symptomatic and asymptomatic non‐pregnant females: risk factors and rates of occurrence. Clin Microbiol Infect 2009; 15 (7): 670–9.
52. Valore EV, Park CH, Igreti SL, Ganz T. Antimicrobial components of vaginal fluid. Am J Obstet Gynecol 2002; 187: 561–8.
53. Van de Wijgert JH, Verwijs MC, Turner AN, Morrison CS. Hormonal contraception decreases bacterial vaginosis but oral contraception may increase candidiasis: implications for HIV transmission. AIDS 2013; 27 (13): 2141–53.
54. Vodstrcil LA, Hocking JS, Law M et al. Hormonal contraception is associated with a reduced risk of bacterial vaginosis: a systematic review and meta-analysis. PLoS One 2013; 8 (9): e73055.
55. Wira CR, Fahey JV, Ghosh M et al. Sex hormone regulation of innate immunity in the female reproductive tract: the role of epithelial cells in balancing reproductive potential with protection against sexually transmitted pathogens. Am J Reprod Immunol 2010; 63: 544–65.
56. Wira CR, Veronese F. Hormone regulation of the mucosal environment in the reproductive tract and the prevention of HIV infection. Am J Reprod Immunol 2014; 71: 487–9.
57. Wølner-Hanssen P, Eschenbach DA, Paavonen J et al. Decreased risk of symptomatic chlamydial pelvic inflammatory disease associated with oral contraceptive use. JAMA 1990; 263 (1): 54–9.
58. Yarbrough VL, Winkle S, Herbst-Kralovetz MM. Antimicrobial peptides in the female reproductive tract: a critical component of the mucosal immune barrier with physiological and clinical implications. Human Reproduction Update 2015; 21 (3): 353–77.
________________________________________________
1. Korkhov V.V., Tapil'skaia N.I. Gestageny v akushersko-ginekologicheskoi praktike: rukovodstvo dlia vrachei. SPb.: SpetsLit, 2005. [in Russian]
2. Savicheva A.M. i dr. Infektsionno-vospalitel'nye zabolevaniia v akusherstve i ginekologii. Pod red. E.K.Ailamaziana. M.: GEOTAR-Media, 2016. [in Russian]
3. Tapilskaya N.I., Karpeev S.A., Kuznetsova I.V. Subclinical inflammatory diseases of the pelvic organs: chronic endometritis. 2014; 16 (1): 104–9. [in Russian]
4. Abbott DS, Chin-Smith EC, Seed PT et al. Raised trappin2/elafin protein in cervico-vaginal fluid is a potential predictor of cervical shortening and spontaneous preterm birth. PLoS One 2014; 9: e100771.
5. Andrist LC, Arias RD, Nucatola D et al. Women’s and providers’ attitudes toward menstrual suppression with extended use of oral contraceptives. Contraception 2004; 70: 359–63.
6. Baeten JM, Nyange PM, Richardson BA et al. Hormonal contraception and risk of sexually transmitted disease acquisition: results from a prospective study. Am J Obstet Gynecol 2001; 185 (2): 380–5.
7. Bradshaw CS, Brotman RM. Making inroads into improving treatment of bacterial vaginosis–striving for long-term cure. BMC Infect Dis 2015; 15 (1): 292.
8. Bradshaw CS, Vodstrcil LA, Hocking JS et al. Recurrence of bacterial vaginosis is significantly associated with posttreatment sexual activities and hormonal contraceptive use. Clin Infect Dis 2013; 56 (6): 777–86.
9. Burgener A, Rahman S, Ahmad R et al. Comprehensive proteomic study identifies serpin and cystatinantiproteases as novel correlates of HIV-1 resistance in the cervicovaginal mucosa of female sex workers. J Proteome Res 2011; 10: 5139–49.
10. Burkman RT. Oral contraceptives: current status. Clin Obstet Gynecol 2001; 44 (1): 62–72.
11. Calzolari E, Masciangelo R, Milite V, Verteramo R. Bacterial vaginosis and contraceptive methods. Int J Gynecol Obstet 2000; 70 (3): 341–6.
12. Cauci S, Culhane JF. Modulation of vaginal immune response among pregnant women with bacterial vaginosis by Trichomonasvaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae, and yeast. Am Journal Obstet Gynecol 2007; 196 (2): 133-e1.
13. Cicinelli E, Ballini A, Marinaccio M et al. Microbiological findings in endometrial specimen: our experience. Arch Gynecol Obstet 2012; 285 (5): 1325–9.
14. Cole AM. Innate host defense of human vaginal and cervical mucosae. Curr Top MicrobiolImmunol 2006; 306: 199–230.
15. Cole AM, Cole AL. Antimicrobial polypeptides are key anti-HIV-1 effector molecules of cervicovaginal host defense. Am J Reprod Immunol 2008; 59: 27–34.
16. Cowling P, McCoy DR, Marshall RJ et al. Bacterial colonization of the nonpregnant uterus: a study of pre-menopausal abdominal hysterectomy specimens. Eur J Clin Microbiol Infect Dis 1992; 11 (2): 204–5.
17. Dasari S, Pereira L, Reddy AP et al. Comprehensive proteomic analysis of human cervical-vaginal fluid. J Proteome Res 2007; 6: 1258–68.
18. Doerflinger SY, Throop AL, Herbst-Kralovetz MM. Bacteria in the vaginal microbiomealter the innate immune response and barrier properties of the human vaginal epithelia in a species-specific manner. J Infect Dis 2014; 209: 1989–99.
19. Drannik AG, Nag K, Sallenave JM, Rosenthal KL. Antiviral activity of trappin-2 and elafin in vitro and in vivo against genital herpes. J Virol 2013; 87: 7526–38.
20. Eschenbach DA, Harnisch JP, Holmes KK. Pathogenesis of acute pelvic inflammatory disease: role of contraception and other risk factors. Am J Obstet Gynecol 1977; 128 (8): 838–50.
21. Ferrero S, Abbamonte LH, Giordano M et al. What is the desired menstrual frequency of women without menstruationrelated symptoms? Contraception 2006; 73: 537–41.
22. Frew L, Makieva S, McKinlay AT et al. Human cathelicidin production by the cervix. PLoS One 2014; 9: e103434.
23. Ghosh M. Secreted mucosal antimicrobials in the female reproductive tract that are important to consider for HIV prevention. Am J Reprod Immunol 2014; 71: 575–88.
24. Ghosh M, Shen Z, Schaefer TM et al. CCL20/MIP3alpha is a novel anti-HIV-1 molecule of the human female reproductive tract. Am J Reprod Immunol 2009; 62: 60–71.
25. Grio R, Latino MA, Leotta E et al. Sexually transmitted diseases and pelvic inflammatory disease. Minerva ginecologica 2004; 56 (2): 141–7.
26. Guthrie BL, Introini A, Roxby AC et al. Depot medroxyprogesterone acetate use is associated with elevated innate immune effector molecules in cervicovaginal secretions of HIV-1-uninfected women. J Acquir Immune Defic Syndr 2015; 69 (1): 1–10.
27. Hebb JK, Cohen CR, Astete SG et al. Detection of novel organisms associated with salpingitis, by use of 16S rDNA polymerase chain reaction. J Infect Dis 2004; 190 (12): 2109–20.
28. Holzman C, Leventhal JM, Qiu H et al. Grp BVS. Factors linked to bacterial vaginosis in nonpregnant women. Am J Public Health 2001; 91 (10): 1664–70.
29. Horne AW, Stock SJ, King AE. Innate immunity and disorders of the female reproductive tract. Reproduction 2008; 135: 739–49.
30. Huber JC, Bentz EK, Ott J, Tempfer CB. Non-contraceptive benefits of oral contraceptives. Exp Opin Pharmacother 2008; 9 (13): 2317–25.
31. Kaunitz AM. Oral contraceptive health benefits: perception versus reality. Contraception 1999; 59 (Suppl. 1): 29S–33S.
32. Kawano Y, Nakamura S, Nasu K et al. Expression and regulation of thrombospondin-1 by human endometrial stromal cells. Fertil Steril 2005; 83: 1056–9.
33. Klipping C, Duijkers I, Fortier MP et al. Long-term tolerability of ethinylestradiol 20 μg/drospirenone 3 mg in a flexible extended regimen: results from a randomised, controlled, multicentre study. J Fam Plann Reprod Health Care 2012; 38: 84–93.
34. Klipping C et al. Contraceptive efficacy and tolerability of ethinylestradiol 20μg/drospirenone 3 mg in a flexible extended regimen: an open-label, multicentre, randomised, controlled study. J Fam Plann Reprod Health Care 2012; 38: 73–83.
35. Klotman ME, Chang TL. Defensins in innate antiviral immunity. Nat Rev Immunol 2006; 6: 447–56.
36. Legro RS, Pauli JG, Kunselman AR et al. Effects of continuous versus cyclical oral contraception: a randomized controlled trial. J Clin Endocrinol Metab 2008; 93: 420–9.
37. Lourenco AG, Komesu MC, Machado AA et al. Semen lactoferrin promotes CCL20 production by epithelial cells: involvement in HIV transmission. World J Virol 2014; 3: 11–7.
38. Michel KG, Huijbregts RP, Gleason JL et al. Effect of hormonal contraception on the function of plasmacytoid dendritic cells and distribution of immune cell populations in the female reproductive tract. J Acquir Immune Defic Syndr 2015; 68 (5): 511–8.
39. Mоller BR, Kristiansen FV, Thorsen P et al. Sterility of the uterine cavity. Acta Obstet Gynecol Scand 1995; 74 (3): 216–9.
40. Morrison C, Fichorova RN, Mauck C et al. Cervical inflammation and immunity associated with hormonal contraception, pregnancy, and HIV-1 seroconversion. J Acquir Immune Defic Syndr 2014; 66 (2):109–17.
41. Okumura K, Ikeda S, Ogawa H. Host defense (antimicrobial) peptide, human beta-defensin-3, improves the function of the epithelial tight-junction barrier in human keratinocytes. J Invest Dermatol 2014; 134: 2163–73.
42. Peterson HB, Lee NC. The health effects of oral contraceptives: Misperceptions, controversies, and continuing good news. Clin Obstet Gynecol 1989; 32: 339–55.
43. Riggs M, Klebanoff M, Nansel T et al. Longitudinal association between hormonal contraceptives and bacterial vaginosis in women of reproductive age. Sex Transm Dis 2007; 34 (12): 954–9.
44. Rifkin SB, Smith MR, Brotman RM et al. Hormonal contraception and risk of bacterial vaginosis diagnosis in an observational study of women attending STD clinics in Baltimore. MD Contracept 2009; 80 (1): 63–7.
45. Romero R, Hassan SS, Gajer P et al. The composition and stability of the vaginal microbiota of normal pregnant women is different from that of non-pregnant women. Microbiome 2014; 2: 4.
46. Ruan X, Mueck AO. Oral contraception for women of middle age. Maturitas 2015; 82 (3): 266–70.
47. Rubin GL, Ory HW, Layde PM. Oral contraceptives and pelvic inflammatory disease. Am J Obstet Gynecol 1982; 144 (6): 630–5.
48. Schindler AE. Non-Contraceptive Benefits of Oral Hormonal Contraceptives. Int J Endocrinol Metab 2013; 11 (1): 41–7.
49. Sharma H, Tal R, Clark NA, Segars JH. Microbiota and pelvic inflammatory disease. Semin Reprod Med 2014; 32: 43–9.
50. Swidsinski A, Verstraelen H, Loening-Baucke V et al. Presence of a polymicrobial endometrial biofilm in patients with bacterial vaginosis. PLoS One 2013; 8 (1): e53997.
51. Tibaldi C, Cappello N, Latino MA et al. Vaginal and endocervical microorganisms in symptomatic and asymptomatic non‐pregnant females: risk factors and rates of occurrence. Clin Microbiol Infect 2009; 15 (7): 670–9.
52. Valore EV, Park CH, Igreti SL, Ganz T. Antimicrobial components of vaginal fluid. Am J Obstet Gynecol 2002; 187: 561–8.
53. Van de Wijgert JH, Verwijs MC, Turner AN, Morrison CS. Hormonal contraception decreases bacterial vaginosis but oral contraception may increase candidiasis: implications for HIV transmission. AIDS 2013; 27 (13): 2141–53.
54. Vodstrcil LA, Hocking JS, Law M et al. Hormonal contraception is associated with a reduced risk of bacterial vaginosis: a systematic review and meta-analysis. PLoS One 2013; 8 (9): e73055.
55. Wira CR, Fahey JV, Ghosh M et al. Sex hormone regulation of innate immunity in the female reproductive tract: the role of epithelial cells in balancing reproductive potential with protection against sexually transmitted pathogens. Am J Reprod Immunol 2010; 63: 544–65.
56. Wira CR, Veronese F. Hormone regulation of the mucosal environment in the reproductive tract and the prevention of HIV infection. Am J Reprod Immunol 2014; 71: 487–9.
57. Wølner-Hanssen P, Eschenbach DA, Paavonen J et al. Decreased risk of symptomatic chlamydial pelvic inflammatory disease associated with oral contraceptive use. JAMA 1990; 263 (1): 54–9.
58. Yarbrough VL, Winkle S, Herbst-Kralovetz MM. Antimicrobial peptides in the female reproductive tract: a critical component of the mucosal immune barrier with physiological and clinical implications. Human Reproduction Update 2015; 21 (3): 353–77.
Авторы
Н.И.Тапильская*, Р.И.Глушаков
ФГБОУ ВО «Санкт-Петербургский государственный педиатрический медицинский университет» Минздрава России. 194100, Россия, Санкт-Петербург, ул. Литовская, д. 2
*tapnatalia@yandex.ru
________________________________________________
N.I.Tapilskaya*, R.I.Glushakov
Saint Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation. 194100, Russian Federation, Saint Petersburg, ul. Litovskaia, d. 2
*tapnatalia@yandex.ru