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        • Том 19, №2 (2017)
        • Неконтрацептивные эффекты комбинированных оральных контрацептивов: преимущества и риски применения

        Неконтрацептивные эффекты комбинированных оральных контрацептивов: преимущества и риски применения

        Неконтрацептивные эффекты комбинированных оральных контрацептивов: преимущества и риски применения

        Унанян А.Л., Никонец А.Д., Аминова Л.Н. и др. Неконтрацептивные эффекты комбинированных оральных контрацептивов: преимущества и риски применения. Гинекология. 2017; 19 (2): 69–74.

        ________________________________________________

        Unanyan A.L., Nikonets A.D., Aminova L.N. et al. Noncontraceptive effects of combined oral contraceptives: benefits and risks of use. Gynecology. 2017; 19 (2): 69–74.

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          Неконтрацептивные эффекты комбинированных оральных контрацептивов: преимущества и риски применения

        Материалы доступны только для специалистов сферы здравоохранения. Авторизуйтесь или зарегистрируйтесь.

        • Аннотация
        • Полный текст
        • Список литературы
        • Авторы
        Аннотация
        Настоящая публикация посвящена одному из наиболее актуальных направлений гинекологической практики – применению комбинированных оральных контрацептивов (КОК) с учетом их положительных неконтрацептивных свойств. Детально отражен вопрос о том, как с пользой для репродуктивного здоровья женщины использовать КОК, с чем их комбинировать и как провести профилактику рисков, связанных с приемом гормональных препаратов. Информация представлена в виде аналитического обзора международных исследований в отношении преимуществ и рисков применения КОК. 

        Ключевые слова: комбинированные оральные контрацептивы, онкологический риск, венозная тромбоэмболия, дипиридамол.

        ________________________________________________

        This publication is devoted to one of the most relevant areas of gynecological practice – the use of combined oral contraceptives (COCs), taking into account their positive non-contraceptive properties. The issue of how to use COCs with the benefit of reproductive health of women, with what to combine them and how to prevent the risks associated with taking hormonal drugs, is reflected in detail. The information is presented in the form of an analytical review of international studies on the benefits and risks of using COCs.

        Key words: combined oral contraceptives, cancer risk, venous thromboembolism, dipyridamole.

        Полный текст

        Материалы доступны только для специалистов сферы здравоохранения. Авторизуйтесь или зарегистрируйтесь.

        Список литературы
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        ________________________________________________

        1. Hannaford PC, Iversen L, Macfarlane TV et al. Mortality among contraceptive pill users: cohort evidence from Royal College of General Practitioners’ Oral Contraception Study. BMJ 2010; 340: 927.
        2. Prilepskaia V.N., Mezhevitinova E.A., Ivanova E.V., Sasunova R.A. Kontratseptsiia i vozmozhnosti personifitsirovannogo podkhoda k ee naznacheniiu v razlichnye vozrastnye periody zhenshchiny. Farmateka. 2014; 4: 6–10. [in Russian]
        3. 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. PLoSOne 2013; 8 (9): e73055.
        4. Jarosik GP, Land CB, Duhon P et al. Acquisition of iron by Gardnerella vaginalis. Infect Immun 1998; 66 (10): 5041–7.
        5. Sammon CJ, Nazareth I, Petersen I. Recording and treatment of premenstrual syndrome in UK general practice: a retrospective cohort study. BMJ Open 2016; 6 (3): e010244.
        6. Lopez LM, Kaptein AA, Helmerhorst FM. Oral contraceptives containing drospirenone for premenstrual syndrome. Cochrane Database Syst Rev 2012; 2: CD006586.
        7. Lundin C, Danielsson KG, Bixo M et al. Combined oral contraceptive use is associated with both improvement and worsening of mood in the different phases of the treatment cycle-A double-blind, placebo-controlled randomized trial. Psychoneuroendocrinology 2017; 76: 135–43.
        8. Roberts SC, Little AC, Burriss RP et al. Partner choice, relationship satisfaction, and oral contraception: the congruency hypothesis. Psychol Sci 2014; 25 (7): 1497–503.
        9. Zethraeus N, Dreber A, Ranehill E et al. Combined Oral Contraceptives and Sexual Function in Women-a Double-Blind, Randomized, Placebo-Controlled Trial. J Clin Endocrinol Metab 2016; 101 (11): 4046–53.
        10. Azar-Ramos R. Incidence of side effects with contraceptive placebo. Am J Obstet Gynecol 1989; 105: 1144–9.
        11. Heikinheimo O, Fraser I. The current status of hormonal therapies for heavy menstrual bleeding. Best Pract Res Clin Obstet Gynaecol 2017; 40: 111–20.
        12. Heikkinen S, Koskenvuo M, Malila N et al. Use of exogenous hormones and the risk of breast cancer: results from self-reported survey data with validity assessment. Cancer Causes Control 2016; 27 (2): 249–58.
        13. Moroni RM, Martins WP, Dias SV et al. Combined oral contraceptive for treatment of women with uterine fibroids and abnormal uterine bleeding: a systematic review. Gynecol Obstet Invest 2015; 79 (3): 145–52.
        14. Davis AR, Westhoff C, O’Connell K et al. Oral contraceptives for dysmenorrhea in adolescent girls: a randomized clinical trial. Obstet Gynecol 2005; 106: 97–104.
        15. Momoeda M, Hayakawa M, Shimazaki Y et al. Does the presence of coexisting diseases modulate the effectiveness of a low-dose estrogen/progestin, ethinylestradiol/drospirenone combination tablet in dysmenorrhea? Reanalysis of two randomized studies in Japanese women. Int J Womens Health 2014; 6: 989–98.
        16. Tafi E, Leone Roberti Maggiore U, Alessandri F et al. Advances in pharmacotherapy for treating endometriosis. Exp Opin Pharmacother 2015; 16: 2465–83.
        17. Benagiano G, Guo SW, Bianchi P et al. Pharmacologic treatment of the ovarian endometrioma. Expert Opin Pharmacother 2016; 17 (15): 2019–31.
        18. Vercellini P, De Matteis S, Somigliana E et al. Long-term adjuvant therapy for the prevention of postoperative endometrioma recurrence: a systematic review and meta-analysis Acta Obstet Gynecol Scand 2013; 92: 8–16.
        19. Wu L, Wu Q, Liu L. Oral contraceptive pills for endometriosis after conservative surgery: a systematic review and meta-analysis. Gynecol Endocrinol 2013; 29 (10): 883–90.
        20. Seracchioli R, Mabrouk M, Frascà C et al. Long-term cyclic and continuous oral contraceptive therapy and endometrioma recurrence: A randomized controlled trial. Fertil Steril 2010; 93: 52–6.
        21. Zorbas KA, Economopoulos KP, Vlahos NF. Continuous versus cyclic oral contraceptives for the treatment of endometriosis: a systematic review. Arch Gynecol Obstet 2015; 292: 37–43.
        22. Troncon JK, Neto OB, Nogueira AA, Rosae Silva JC. Continuous or cyclic contraceptives for endometriosis: a question still without an answer. Arch Gynecol Obstet 2015; 292: 481–2101.
        23. Muzii L, Di Tucci C, Achilli C et al. Continuous versus cyclic oral contraceptives after laparoscopic excision of ovarian endometriomas: a systematic review and metaanalysis. Am J Obstet Gynecol 2016; 214: 203–11.
        24. Grimes DA, Jones LB, Lopez LM, Schulz KF. Oral contraceptives for functional ovarian cysts. Cochrane Database Syst Rev 2014; 4: CD006134.
        25. Rodney JP, Sataloff RT. The Effects of Hormonal Contraception on the Voice: History of Its Evolution in the Literature. J Voice 2016; 30 (6): 726–30.
        26. Zimmerman Y, Eijkemans MJ, Coelingh Bennink HJ et al. The effect of combined oral contraception on testosterone levels in healthy women: a systematic review and meta-analysis. Hum Reprod Update 2014; 20 (1): 76–105.
        27. Somani N, Turvy D. Hirsutism: an evidence-based treatment update. Am J Clin Dermatol 2014; 15 (3): 247–66.
        28. Dokras A. Non contraceptive use of oral combined hormonal contraceptives in polycystic ovary syndrome-risks versus benefits. Fertil Steril 2016; 106 (7): 1572–9.
        29. Adeniji AA, Essah PA, Nestler JE, Cheang KI. Metabolic Effects of a Commonly Used Combined Hormonal Oral Contraceptive in Women With and Without Polycystic Ovary Syndrome. J Womens Health (Larchmt) 2016; 25 (6): 638–45.
        30. Gallo MF, Lopez LM, Grimes DA et al. Combination contraceptives: effects on weight. Cochrane Database Syst Rev 2014; 1: CD003987.
        31. Caprio M, Antelmi A, Chetrite G. Antiadipogenic effects of the mineralocorticoid receptor antagonist drospirenone: potential implications for the treatment of metabolic syndrome. Endocrinology 2011; 152 (1): 113–25.
        32. Sitruk-Ware R, Nath A. Characteristics and metabolic effectsof estrogen and progestins containedin oral contraceptive pills. Pract Res Clin Endocrinol Metab 2013; 27: 13–24.
        33. Lopez LM, Grimes DA, Schulz KF. Steroidal contraceptives: effect on carbohydrate metabolism in women without diabetes mellitus. Cochrane Database Syst Rev 2014; 4: CD006133.
        34. Roura E, Travier N, Waterboer T et al. The Influence of Hormonal Factors on the Risk of Developing Cervical Cancer and Pre-Cancer: Results from the EPIC Cohort. PLoSOne 2016; 11  (1): e0147029.
        35. Havrilesky LJ, Gierisch JM, Moorman PG et al. Oral contraceptive use for the primary prevention of ovarian cancer. Evid Rep Technol Assess (FullRep) 2013; 212: 1–514.
        36. Moorman PG, Havrilesky LJ, Gierisch JM et al. Oral contraceptives and risk of ovarian cancer and breast cancer among high-risk women: a systematic review and meta-analysis. J Clin Oncol 2013; 31 (33): 4188–98.
        37. Iversen L, Sivasubramaniam S, Lee AJ, Fielding S et al. Lifetime cancer risk and combined oral contraceptives: the Royal College of General Practitioners' Oral Contraception Study. Am J Obstet Gynecol 2017. pii: S0002-9378(17)30179–5.
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        Авторы
        А.Л.Унанян*1, А.Д.Никонец1, Л.Н.Аминова2, В.А.Алимов2, Ю.В.Чушков1, А.В.Щукина3, Е.А.Кудрина1, Д.В.Бабурин1

        1. ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М.Сеченова» Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2;
        2. Клиническая больница МЕДСИ. 125284, Россия, Москва, 2-й Боткинский пр., д. 5;
        3. ГБУЗ «Городская поликлиника №68» Департамента здравоохранения г. Москвы. 119180, Россия, Москва, ул. Малая Якиманка, д. 22, стр. 1
        *9603526@mail.ru


        ________________________________________________

        A.L.Unanyan*1, A.D.Nikonets1, L.N.Aminova2, V.A.Alimov2, Yu.V.Chushkov1, A.V.Shchukina3, E.A.Kudrina1, D.V.Baburin1

        1. I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2;
        2. Clinical Hospital MEDSI. 125284, Russian Federation, Moscow, 2-i Botkinskiy pr., d. 5;
        3. Сity Hospital №68 of the Department of Health of Moscow. 3119180, Russian Federation, Moscow, ul. Malaia Iakimanka, d. 22, str. 1
        *9603526@mail.ru



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