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Combined hormonal contraception

Chia sẻ: Nguyen Lan | Ngày: | Loại File: PDF | Số trang:57

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Combined hormonal contraception

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COMBINED ORAL CONTRACEPTIVES Mechanism of action The combined oral contraceptive (COC) pills currently available in the UK are shown in Table 2. They combine an estrogen (ethinylestradiol (EE) in all cases but one) with one of seven progestogens. Aside from secondary contraceptive effects on the cervical mucus and to impede implantation, COCs primarily prevent ovulation. This makes the method highly effective in ‘perfect’ use (Table 1), but it removes the normal menstrual cyle and replaces it with a cycle that is user-produced and based only on the end-organ, i.e. the endometrium. So the withdrawal bleeding has minimal medical significance, can...

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