协和医学杂志

2020, v.11(01) 73-78

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复方短效口服避孕药应用中不定期出血的管理
Management of Unscheduled Bleeding in Women Using Combined Oral Contraceptives

马淼;唐瑞怡;陈蓉;
MA Miao;TANG Rui-yi;CHEN Rong;Gynecological Endocrinology and Reproductive Center,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;Department of Obstetrics & Gynecology,Obstetrics & Gynecology Hospital of Fudan University;

摘要(Abstract):

不定期出血是复方短效口服避孕药应用期间女性停药的常见原因。不定期出血的充分告知以及必要的预防和治疗,能够提高女性口服避孕药的依从性。但目前关于不定期出血的机制尚不明确,且缺乏高级别证据支持的有效预防和治疗方法。对于新发或持续性不定期出血妇女,排除妇科疾病很重要。
Unscheduled bleeding is a common cause of discontinuation during the using of combined oral contraceptives( COC). Compliance can be improved by appropriate counseling about the possibility of unscheduled bleeding,as well as by the necessary prevention and treatment. The mechanisms underlying this kind of bleeding are not fully understood. There is little high-level evidence of clinical strategies to support the management of unscheduled bleeding associated with COC. It is critical to role out gynecological pathology for patients with persistent or new-onset unscheduled bleeding.

关键词(KeyWords): 复方短效口服避孕药;不定期出血;管理
combined oral contraceptive;unscheduled bleeding;management

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作者(Author): 马淼;唐瑞怡;陈蓉;
MA Miao;TANG Rui-yi;CHEN Rong;Gynecological Endocrinology and Reproductive Center,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;Department of Obstetrics & Gynecology,Obstetrics & Gynecology Hospital of Fudan University;

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