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Contracept Fertil Sex (Paris). 1982 Jul-Aug;10(7):457-63.
[Current trends in female contraception (author's transl)]
[Article in French]
Toivonen J.
PIP: Oral contraceptives (OCs) and IUDs are still the most popular contraceptive methods; their small potential risk for users has been well advertized in recent years. Copper IUDs are more effective than inert IUDs; it seems that the T-Cu 380, the T-Cu220 C, and the T-Nova have low failure rates. Excessive menstrual bleeding still remains the main side effect, and pelvic infection the main complication. Risk of cerebrovascular accident is the main side effect of OCs; the risk increases greatly in smokers and in hypertensive women. After termination of OCs return to fertility is quick and easy; OCs can prevent pelvic infection and, possibly, ovarian cancer. New methods of fertility control, now still under experimentation, include subdermal implants of a silastic capsule containing a steroid which is released continuously. According to recent studies the failure rate of this method is only 0.4%, and acceptability is very high. Silastic vaginal rings releasing levonorgestrel-estradiol have also been tested with excellent results, and with a very low pregnancy rate; the only side effect seems to be leukorrhea. Failure rate for progesterone-releasing IUDs is only 1.9%, termination rate for bleeding and pain is 6.1%, and continuation rate is 82.8%. This new method has the advantage of decreasing the amount of menstrual bleeding. Intracervical devices releasing levonorgestrel are not more effective than regular IUDs; their insertion is much easier and can be done by paramedical personnel. LRH analog administration by nasal spray has also proven to inhibit ovulation.
online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12264457&dopt=Abstract
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