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Сложные вопросы комбинированной гормональной контрацепции
© ООО «КОНСИЛИУМ МЕДИКУМ», 2023 г.
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Prilepskaya VN, Bostandzhian LL. Complex questions about combined hormonal contraception: A review. Gynecology. 2023;25(2):251–257. DOI: 10.26442/20795696.2023.2.202245
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Ключевые слова: комбинированные оральные контрацептивы, эстетрол, венозная тромбоэмболия, рак, COVID-19
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Combined oral contraceptives (COCs) containing synthetic analogs of sex steroids are considered the most effective and popular method of contraception worldwide. The low rate of hormonal contraceptive use is often because of the fear of side effects due to existing myths. Complex questions that most often arise among doctors and patients when choosing COCs include the risk of thrombosis and cancer, the effect on fertility after the use of COCs, the use of COCs in patients with COVID-19, etc. COCs are highly effective, well-studied, and pose minimal risks that are well understood, described in the labels, and can be avoided with proper use.
Keywords: combined oral contraceptive, venous thromboembolism, estetrol, cancer, COVID-19
2. Медицинские критерии приемлемости контрацепции. ВОЗ, 2015. Режим доступа: http://bono-esse.ru/blizzard/Gyn/Contracep/MEC-merged.pdf. Ссылка активна на 15.01.2023 [World Health Organization. Medical Eligibility Criteria for Contraceptive Use. 3rd ed. Geneva: WHO, 2015. Available at: http://bono-esse.ru/blizzard/Gyn/Contracep/MEC-merged.pdf. Accessed: 15.01.2023 (in Russian)].
3. Прилепская В.Н., Межевитинова Е.А., Назарова Н.М., и др. Новые национальные медицинские критерии приемлемости методов контрацепции (2022): вклад в охрану репродуктивного здоровья женщин. Акушерство и гинекология. 2022;10(4):53-60 [Prilepskaia VN, Mezhevitinova EA, Nazarova NM, et al. Novye natsional'nye meditsinskie kriterii priemlemosti metodov kontratseptsii (2022): vklad v okhranu reproduktivnogo zdorov'ia zhenshchin. Akusherstvo i ginekologiia. 2022;10(4):53-60 (in Russian)].
4. Российское общество акушеров-гинекологов; Российское общество по контрацепции. Национальные критерии приемлемости контрацепции 2023 [Rossijskoe obshchestvo akusherov-ginekologov; Rossijskoe obshchestvo po kontracepcii. Nacional'nye kriterii priemlemosti kontracepcii 2023 (in Russian)].
5. Pymar HC, Creinin MD. The risks of oral contraceptive pills. Semin Reprod Med. 2001;19(4):305-12.
6. Stegeman BH, de Bastos M, Rosendaal FR, et al. Different combined oral contraceptives and the risk of venous thrombosis: systematic review and network meta-analysis. BMJ. 2013;347:f5298. DOI:10.1136/bmj.f5298
7. Lidegaard Ø, Løkkegaard E, Svendsen AL, Agger C. Hormonal contraception and risk of venous thromboembolism: national follow-up study. BMJ. 2009;339:b2890. DOI:10.1136/bmj.b2890
8. Dinger J, Minh TD, Moehner S, et al. The risk of venous thromboembolism in OC users: time patterns after initiation of treatment. Pharmacoepidemiol Drug Saf. 2010;19(S1):S214-5.
9. Dinger JC, Heinemann LA, Kühl-Habich D. The safety of a drospirenone containing oral contraceptive: final results from the European Active Surveillance Study on oral contraceptives based on 142,475 women-years of observation. Contraception. 2007;75(5):344-54. DOI:10.1016/j.contraception.2006.12.019
10. Fruzzetti F, Fidecicchi T, Montt Guevara MM, Simoncini T. Estetrol: A New Choice for Contraception. J Clin Med. 2021;10(23):5625. DOI:10.3390/jcm10235625
11. Farris M, Bastianelli C, Rosato E, et al. Pharmacodynamics of combined estrogen-progestin oral contraceptives: 2. effects on hemostasis. Expert Rev Clin Pharmacol. 2017;10(10):1129-44. DOI:10.1080/17512433.2017.1356718
12. Kluft C, Zimmerman Y, Mawet M, et al. Reduced hemostatic effects with drospirenone-based oral contraceptives containing estetrol vs. ethinyl estradiol. Contraception. 2017;95(2):140-7.
13. Orsini G, Laricchia L, Fanelli M. Low-dose combination oral contraceptives use in women with uterine leiomyomas. Minerva Ginecol. 2002;54(3):253-61.
14. Greydanus D, Patel D, Rimsza M. Contraception in the Adolescent: An update. Pediatrics. 2001;107(3):156-68.
15. Dinger J, Bardenheuer K, Heinemann K. Cardiovascular and general safety of a 24-day regimen of drospirenone-containing combined oral contraceptives: final results from the International Active Surveillance Study of Women Taking Oral Contraceptives. Сontraception. 2014;89(4):253-63.
16. Campbell B. Thrombosis, phlebitis and varicose veins. BMJ. 1996;312(7025):198-9.
17. Tepper NK, Marchbanks PA, Curtis KM. Superficial venous disease and combined hormonal contraceptives: a systematic review. Contraception. 2016;94(3):275-9. DOI:10.1016/j.contraception.2015.03.010
18. Jukkola TM, Makivaara LA, Luukkaala T, et al. The effects of parity, oral contraceptive use and hormonal replacement therapy on the incidence of varicose veins. J Obstet Gynecol. 2006;26(5):448-51.
19. Zhang L, Zetter MA, Guerra EC, et al. ACE2 in the second act of COVID-19 syndrome: peptide dysregulation and possible correction with oestrogen. J Neuroendocrinol. 2021;33(2):e12935.
20. Макацария А.Д., Слуханчук Е.В., Бицадзе В.О., и др. COVID-19, нарушения гемостаза и риск тромботических осложнений. Вестник Российской академии медицинских наук. 2020;75(4):306-17 [Makatsariya AD, Slukhanchuk EV, Bitsadze VO, et al. COVID-19, hemostasis disorders and risk of thrombotic complications. Annals of the Russian Academy of Medical Sciences. 2020;75(4):306-17 (in Russian)].
21. Cagnacci A, Londero AP, Xhoili A. COVID-19 and hormonal contraception. Case Rep Womens Health. 2022;34:e00389.
22. Iversen L, Sivasubramaniam S, Lee AJ, et al. Lifetime cancer risk and combined oral contraceptives: the Royal College of General Practitioners’Oral Contraception Study. Am J Obstet Gynecol. 2017;216(6):580.e1-9. DOI:10.1016/j.ajog.2017.02.002
23. Collaborative Group on Epidemiological Studies of Ovarian Cancer; Beral V, Doll R, Hermon C, et al. Ovarian cancer and oral contraceptives: collaborative reanalysis of data from 45 epidemiological studies including 23,257 women with ovarian cancer and 87,303 controls. Lancet. 2008;371(9609):303-14.
24. Hannaford PC, Selvaraj S, Elliott AM, et al. Cancer risk among users of oral contraceptives: cohort data from the Royal College of General Practitioner’s oral contraception study. BMJ. 2007;335(7621):651.
25. Vessey M, Painter R. Oral contraceptive use and cancer. Findings in a large cohort study, 1968–2004. Br J Cancer. 2006;95(3):385-9.
26. Bosetti C, Bravi F, Negri E, La Vecchia C. Oral contraceptives and colorectal cancer risk: a systematic review and meta-analysis. Hum Reprod Update. 2009;15(5):489-98.
27. Fernandez E, La Vecchia C, Balducci A, et al. Oral contraceptives and colorectal cancer risk: a meta-analysis. Br J Cancer. 2001;84(5):722-7.
28. Ursin G, Peters RK, Henderson BE, et al. Oral contraceptive use and adenocarcinoma of cervix. Lancet. 1994;344(8934):1390-4.
29. Folger SG, Marchbanks PA, McDonald JA, et al. Risk of breast cancer associated with short-term use of oral contraceptives. Cancer Causes Control. 2007;18(2):189-98.
30. Zhu H, Lei X, Feng J, Wang Y. Oral contraceptive use and risk of breast cancer: a meta-analysis of prospective cohort studies. Eur J Contracept Reprod Health Care. 2012;17(6):402-14. DOI:10.3109/13625187.2012.715357
31. Iodice S, Barile M, Rotmensz N, et al. Oral contraceptive use and breast or ovarian cancer risk in BRCA1/2 carriers: a meta-analysis. Eur J Cancer. 2010;46(12):2275-84. DOI:10.1016/j.ejca.2010.04.018
32. Park J, Huang D, Chang YJ, et al. Oral contraceptives and risk of breast cancer and ovarian cancer in women with a BRCA1 or BRCA2 mutation: a meta-analysis of observational studies. Carcinogenesis. 2022;43(3):231-42.
33. Kanadys W, Baranska A, Malm V, et al. Use of Oral Contraceptives as a Potential Risk Factor for Breast Cancer: A Systematic Review and Meta-Analysis of Case-Control Studies Up to 2010. Int J Environ Res Public Health. 2021;18(9):4638.
34. Anastasiou E, McCarthy KJ, Gollub EL, et al. The relationship between hormonal contraception and cervical dysplasia/cancer controlling for human papillomavirus infection: A systematic review. Contraception. 2022;107:1-9.
35. Lech MM, Ostrowska L. Risk of cancer development in relation to oral contraception. Eur J Contrasept Reprod Health Care. 2006;11(3):162-8.
36. 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.
37. Burkman RT. Oral Contraceptives: Current Status. Clin Obstet Gynecol. 2001:44(1):62-72.
38. Orsini G, Laricchia L, Fanelli M. Low-dose combination oral contraceptive use in women with uterine leiomyomas. Minerva Ginecol. 2002;54(3):253-61.
39. De La Cruz MS, Buchanan EM. Uterine fibroids: diagnosis and treatment. Am Fam Physician. 2017;95(2):100-7.
40. Mas A, Tarazona M, Dasí Carrasco J, et al. Updated approaches for management of uterine fibroids. Int J W Helth. 2017;9:607-17. DOI:10.2147/IJWH.S138982
41. Mansour D, Gemzell-Danielsson K, Inki P, et al. Fertility after discontinuation of contraception: a comprehensive review of the literature. Contraception. 2011;84(5):465-77.
42. Barnhart K, Mirkin S, Grubb G, Constantine G. Return to fertility after cessation of a continuous oral contraceptive. Fertil Steril. 2009;91(5):1654-6. DOI:10.1016/j.fertnstert.2008.02.122
43. Cronin M, Schellschmidt I, Dinger J. Rate of pregnancy after using drospirenone and other progestincontaining oral contraceptives. Obstet Gynecol. 2009;114(3):616-22. DOI:10.1097/AOG.0b013e3181b46f54
44. Harlap et al. Family planning from Encyclopedia of Sociology, 1991.
45. Mikkelsen EM, Riis AH, Wise LA, et al. Pre-gravid oral contraceptive use and time to pregnancy: a Danish prospective cohort study. Hum Reprod. 2013;28(5):1398-405.
46. Cronin M, Schellschmidt I, Dinger J. Rate of pregnancy after using drospirenone and other progestin-containing oral contraceptives. Obstet Gynecol. 2009;114(3):616-22.
47. Farrow A, Hull MGR, Northstone K, et al. Prolonged use of oral contraception before a planned pregnancy is associated with a decreased risk of delayed conception. Hum Reprod. 2002;17(10):2754-61.
48. Wiegratz I, Mittmann K, Dietrich H, et al. Fertility after discontinuation of treatment with an oral contraceptive containing 30 microg of ethinyl estradiol and 2 mg of dienogest. Fertil Steril. 2006;85(6):1812-9.
49. Shulman LP, Westhoff CL. Return to fertility after use of reversible contraception. Dialogues in Contraception. 2006;10:1-3.
50. Vogt C, Schaefer M. Disparities in knowledge and interest about benefits and risks of combined oral contraceptives. Eur J Contracept Reprod Health Care. 2011;16(3):183-93. DOI:10.3109/13625187.2011.561938
51. Ford JH, MacCormac L. Pregnancy and lifestyle study: the long-term use of the contraceptive pill and the risk of age-related miscarriage. Hum Reprod. 1995;10(6):1397-402. DOI:10.1093/humrep/10.6.1397
52. Farrow A, Hull MGR, Northstone K, et al. Prolonged use of oral contraception before a planned pregnancy is associated with a decreased risk of delayed conception. Hum Reprod. 2002;17(10):2754-61. DOI:10.1093/humrep/17.10.2754
53. Burkman R, Schlesselman JJ, Zieman M. Safety concerns and health benefits associated with oral contraception. Am J Obstet Gynecol. 2004;190(Suppl. 4):S5-22. DOI:10.1016/j.ajog.2004.01.061
54. Girum T, Wasie A. Return of fertility after discontinuation of contraception: a systematic review and meta-analysis. Contracept Reprod Med. 2018;3:9. DOI:10.1186/s40834-018-0064-y
55. Gallo MF, Lopez LM, Grimes DA, et al. Combination contraceptives: effects on weight. Cochrane Database Syst Rev. 2014;1:CD003987.
________________________________________________
1. United Nations, Department of Economic and Socisl Affairs, population Division Contraceptive Use by Method 2019: Data Booklet. 2019.
2. World Health Organization. Medical Eligibility Criteria for Contraceptive Use. 3rd ed. Geneva: WHO, 2015. Available at: http://bono-esse.ru/blizzard/Gyn/Contracep/MEC-merged.pdf. Accessed: 15.01.2023 (in Russian).
3. Prilepskaia VN, Mezhevitinova EA, Nazarova NM, et al. Novye natsional'nye meditsinskie kriterii priemlemosti metodov kontratseptsii (2022): vklad v okhranu reproduktivnogo zdorov'ia zhenshchin. Akusherstvo i ginekologiia. 2022;10(4):53-60 (in Russian).
4. Rossijskoe obshchestvo akusherov-ginekologov; Rossijskoe obshchestvo po kontracepcii. Nacional'nye kriterii priemlemosti kontracepcii 2023 (in Russian).
5. Pymar HC, Creinin MD. The risks of oral contraceptive pills. Semin Reprod Med. 2001;19(4):305-12.
6. Stegeman BH, de Bastos M, Rosendaal FR, et al. Different combined oral contraceptives and the risk of venous thrombosis: systematic review and network meta-analysis. BMJ. 2013;347:f5298. DOI:10.1136/bmj.f5298
7. Lidegaard Ø, Løkkegaard E, Svendsen AL, Agger C. Hormonal contraception and risk of venous thromboembolism: national follow-up study. BMJ. 2009;339:b2890. DOI:10.1136/bmj.b2890
8. Dinger J, Minh TD, Moehner S, et al. The risk of venous thromboembolism in OC users: time patterns after initiation of treatment. Pharmacoepidemiol Drug Saf. 2010;19(S1):S214-5.
9. Dinger JC, Heinemann LA, Kühl-Habich D. The safety of a drospirenone containing oral contraceptive: final results from the European Active Surveillance Study on oral contraceptives based on 142,475 women-years of observation. Contraception. 2007;75(5):344-54. DOI:10.1016/j.contraception.2006.12.019
10. Fruzzetti F, Fidecicchi T, Montt Guevara MM, Simoncini T. Estetrol: A New Choice for Contraception. J Clin Med. 2021;10(23):5625. DOI:10.3390/jcm10235625
11. Farris M, Bastianelli C, Rosato E, et al. Pharmacodynamics of combined estrogen-progestin oral contraceptives: 2. effects on hemostasis. Expert Rev Clin Pharmacol. 2017;10(10):1129-44. DOI:10.1080/17512433.2017.1356718
12. Kluft C, Zimmerman Y, Mawet M, et al. Reduced hemostatic effects with drospirenone-based oral contraceptives containing estetrol vs. ethinyl estradiol. Contraception. 2017;95(2):140-7.
13. Orsini G, Laricchia L, Fanelli M. Low-dose combination oral contraceptives use in women with uterine leiomyomas. Minerva Ginecol. 2002;54(3):253-61.
14. Greydanus D, Patel D, Rimsza M. Contraception in the Adolescent: An update. Pediatrics. 2001;107(3):156-68.
15. Dinger J, Bardenheuer K, Heinemann K. Cardiovascular and general safety of a 24-day regimen of drospirenone-containing combined oral contraceptives: final results from the International Active Surveillance Study of Women Taking Oral Contraceptives. Сontraception. 2014;89(4):253-63.
16. Campbell B. Thrombosis, phlebitis and varicose veins. BMJ. 1996;312(7025):198-9.
17. Tepper NK, Marchbanks PA, Curtis KM. Superficial venous disease and combined hormonal contraceptives: a systematic review. Contraception. 2016;94(3):275-9. DOI:10.1016/j.contraception.2015.03.010
18. Jukkola TM, Makivaara LA, Luukkaala T, et al. The effects of parity, oral contraceptive use and hormonal replacement therapy on the incidence of varicose veins. J Obstet Gynecol. 2006;26(5):448-51.
19. Zhang L, Zetter MA, Guerra EC, et al. ACE2 in the second act of COVID-19 syndrome: peptide dysregulation and possible correction with oestrogen. J Neuroendocrinol. 2021;33(2):e12935.
20. Makatsariya AD, Slukhanchuk EV, Bitsadze VO, et al. COVID-19, hemostasis disorders and risk of thrombotic complications. Annals of the Russian Academy of Medical Sciences. 2020;75(4):306-17 (in Russian).
21. Cagnacci A, Londero AP, Xhoili A. COVID-19 and hormonal contraception. Case Rep Womens Health. 2022;34:e00389.
22. Iversen L, Sivasubramaniam S, Lee AJ, et al. Lifetime cancer risk and combined oral contraceptives: the Royal College of General Practitioners’Oral Contraception Study. Am J Obstet Gynecol. 2017;216(6):580.e1-9. DOI:10.1016/j.ajog.2017.02.002
23. Collaborative Group on Epidemiological Studies of Ovarian Cancer; Beral V, Doll R, Hermon C, et al. Ovarian cancer and oral contraceptives: collaborative reanalysis of data from 45 epidemiological studies including 23,257 women with ovarian cancer and 87,303 controls. Lancet. 2008;371(9609):303-14.
24. Hannaford PC, Selvaraj S, Elliott AM, et al. Cancer risk among users of oral contraceptives: cohort data from the Royal College of General Practitioner’s oral contraception study. BMJ. 2007;335(7621):651.
25. Vessey M, Painter R. Oral contraceptive use and cancer. Findings in a large cohort study, 1968–2004. Br J Cancer. 2006;95(3):385-9.
26. Bosetti C, Bravi F, Negri E, La Vecchia C. Oral contraceptives and colorectal cancer risk: a systematic review and meta-analysis. Hum Reprod Update. 2009;15(5):489-98.
27. Fernandez E, La Vecchia C, Balducci A, et al. Oral contraceptives and colorectal cancer risk: a meta-analysis. Br J Cancer. 2001;84(5):722-7.
28. Ursin G, Peters RK, Henderson BE, et al. Oral contraceptive use and adenocarcinoma of cervix. Lancet. 1994;344(8934):1390-4.
29. Folger SG, Marchbanks PA, McDonald JA, et al. Risk of breast cancer associated with short-term use of oral contraceptives. Cancer Causes Control. 2007;18(2):189-98.
30. Zhu H, Lei X, Feng J, Wang Y. Oral contraceptive use and risk of breast cancer: a meta-analysis of prospective cohort studies. Eur J Contracept Reprod Health Care. 2012;17(6):402-14. DOI:10.3109/13625187.2012.715357
31. Iodice S, Barile M, Rotmensz N, et al. Oral contraceptive use and breast or ovarian cancer risk in BRCA1/2 carriers: a meta-analysis. Eur J Cancer. 2010;46(12):2275-84. DOI:10.1016/j.ejca.2010.04.018
32. Park J, Huang D, Chang YJ, et al. Oral contraceptives and risk of breast cancer and ovarian cancer in women with a BRCA1 or BRCA2 mutation: a meta-analysis of observational studies. Carcinogenesis. 2022;43(3):231-42.
33. Kanadys W, Baranska A, Malm V, et al. Use of Oral Contraceptives as a Potential Risk Factor for Breast Cancer: A Systematic Review and Meta-Analysis of Case-Control Studies Up to 2010. Int J Environ Res Public Health. 2021;18(9):4638.
34. Anastasiou E, McCarthy KJ, Gollub EL, et al. The relationship between hormonal contraception and cervical dysplasia/cancer controlling for human papillomavirus infection: A systematic review. Contraception. 2022;107:1-9.
35. Lech MM, Ostrowska L. Risk of cancer development in relation to oral contraception. Eur J Contrasept Reprod Health Care. 2006;11(3):162-8.
36. 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.
37. Burkman RT. Oral Contraceptives: Current Status. Clin Obstet Gynecol. 2001:44(1):62-72.
38. Orsini G, Laricchia L, Fanelli M. Low-dose combination oral contraceptive use in women with uterine leiomyomas. Minerva Ginecol. 2002;54(3):253-61.
39. De La Cruz MS, Buchanan EM. Uterine fibroids: diagnosis and treatment. Am Fam Physician. 2017;95(2):100-7.
40. Mas A, Tarazona M, Dasí Carrasco J, et al. Updated approaches for management of uterine fibroids. Int J W Helth. 2017;9:607-17. DOI:10.2147/IJWH.S138982
41. Mansour D, Gemzell-Danielsson K, Inki P, et al. Fertility after discontinuation of contraception: a comprehensive review of the literature. Contraception. 2011;84(5):465-77.
42. Barnhart K, Mirkin S, Grubb G, Constantine G. Return to fertility after cessation of a continuous oral contraceptive. Fertil Steril. 2009;91(5):1654-6. DOI:10.1016/j.fertnstert.2008.02.122
43. Cronin M, Schellschmidt I, Dinger J. Rate of pregnancy after using drospirenone and other progestincontaining oral contraceptives. Obstet Gynecol. 2009;114(3):616-22. DOI:10.1097/AOG.0b013e3181b46f54
44. Harlap et al. Family planning from Encyclopedia of Sociology, 1991.
45. Mikkelsen EM, Riis AH, Wise LA, et al. Pre-gravid oral contraceptive use and time to pregnancy: a Danish prospective cohort study. Hum Reprod. 2013;28(5):1398-405.
46. Cronin M, Schellschmidt I, Dinger J. Rate of pregnancy after using drospirenone and other progestin-containing oral contraceptives. Obstet Gynecol. 2009;114(3):616-22.
47. Farrow A, Hull MGR, Northstone K, et al. Prolonged use of oral contraception before a planned pregnancy is associated with a decreased risk of delayed conception. Hum Reprod. 2002;17(10):2754-61.
48. Wiegratz I, Mittmann K, Dietrich H, et al. Fertility after discontinuation of treatment with an oral contraceptive containing 30 microg of ethinyl estradiol and 2 mg of dienogest. Fertil Steril. 2006;85(6):1812-9.
49. Shulman LP, Westhoff CL. Return to fertility after use of reversible contraception. Dialogues in Contraception. 2006;10:1-3.
50. Vogt C, Schaefer M. Disparities in knowledge and interest about benefits and risks of combined oral contraceptives. Eur J Contracept Reprod Health Care. 2011;16(3):183-93. DOI:10.3109/13625187.2011.561938
51. Ford JH, MacCormac L. Pregnancy and lifestyle study: the long-term use of the contraceptive pill and the risk of age-related miscarriage. Hum Reprod. 1995;10(6):1397-402. DOI:10.1093/humrep/10.6.1397
52. Farrow A, Hull MGR, Northstone K, et al. Prolonged use of oral contraception before a planned pregnancy is associated with a decreased risk of delayed conception. Hum Reprod. 2002;17(10):2754-61. DOI:10.1093/humrep/17.10.2754
53. Burkman R, Schlesselman JJ, Zieman M. Safety concerns and health benefits associated with oral contraception. Am J Obstet Gynecol. 2004;190(Suppl. 4):S5-22. DOI:10.1016/j.ajog.2004.01.061
54. Girum T, Wasie A. Return of fertility after discontinuation of contraception: a systematic review and meta-analysis. Contracept Reprod Med. 2018;3:9. DOI:10.1186/s40834-018-0064-y
55. Gallo MF, Lopez LM, Grimes DA, et al. Combination contraceptives: effects on weight. Cochrane Database Syst Rev. 2014;1:CD003987.
ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В.И. Кулакова» Минздрава России, Москва, Россия
*lana-bos@mail.ru
________________________________________________
Vera N. Prilepskaya, Lana L. Bostandzhian*
Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Moscow, Russia
*lana-bos@mail.ru