04-03-2015 18:43 | de Magda | 1 afisari
Tipareste | Comenteaza

Cum să alegi o metodă de contracepție eficientă și sigură

Articol realizat de: 

Dr. Viorel Văcaru, Director medical si reglementari în domeniul farmaceutic 

Laboratoire Innotech International, Reprezentanța pentru Romania 

Parte a Grupului Innothera







Poate cele mai cunoscute medicamente la nivel global, anticoncepționalele orale, sunt numite simplu “pilula”. Cele mai folosite mjjloace de contracepție își păstrează încă o serie de aspecte bine ascunse, la mai bine de 50 de ani de la apariție.

Anticoncepționalele orale sunt prezentate de cele mai multe ori ca o metoda contraceptive inofensivă, dar din cauza numeroaselor efecte secundare, nu reușesc mereu să ne protejeze sănătatea sau femininitatea. Nu orice femeie poate utiliza contraceptive orale deoarece în prezența anumitor afecțiuni și factori de risc pot duce la efecte adverse severe.

Cum acționează contraceptivele orale?

Contraceptivele orale combinate sunt preparate din estrogen și progesteron sintetic. Efectul contraceptiv este datorat inhibării ovulației. De asemenea, modifică învelișul intern al uterului, denumit si endometru, făcând implantarea puțin probabilă și îngroașă mucusul de la nivelul colului uterin, îngreunând astfel trecerea spermatozoizilor în cavitatea uterină și trompele uterine.

Ce riscuri presupune utilizarea de contraceptive orale?

Este important de știut care sunt numeroasele efecte secundare asociate cu terapia cu contraceptive orale: sângerare intermenstruală, amenoree post-medicație, modificări ale secreției cervicale, anumite infecții vaginale, de exemplu candidoza, sensibilitate, durere, mărire, secreție la nivelul sânilor, greața, voma, eritem, urticarie, disconfort al corneei în cazul în care se folosesc lentile de contact, dureri de cap, migrene, modificări ale stării psihice, retenția lichidelor, modificări ale greutății corporale. Utilizatoarele au menționat și alte efecte neplăcute: contactele sexuale dureroase, orgasmele diminuate în intensitate sau inexistente și scăderea libidoului.

Contraceptivele orale pot însa determina și efecte adverse severe care pot periclita sănătatea femeii: colelitiaza, icter colestatic, tromboză, creșterea tensiunii arteriale, migrene, toleranță redusă la glucoză. 

Conform ultimelor studii efectuate, se constata o rată semnificativ crescută a deceselor prin efectele secundare cardiovasculare și cerebrovasculare, mai ales infarct cardiac și hemoragii cerebrale, în cazul femeilor ce folosesc anticoncepționale față de cele ce nu folosesc anticoncepționale. 

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