Гинекология (Feb 2017)
Prolonged regimens for combined oral contraceptives
Abstract
One way to improve combined oral contraception is to optimize the regimens for its reception. The standard mode of use of combined oral contraceptyves (COCs) does not always justify the expectations of women, especially in situations where additional therapeutic indications exist for their use. The extended regimens for use of COCs are more appropriate for both contraceptive tasks and the therapeutic uses of progestagen-estrogen preparations. The spread of prolonged regimes is hampered by a number of prejudices associated with insufficient awareness of doctors and patients, as well as a small number of drugs annotated for use without inter-hormonal intervals. Recently registered in Russia low-dose COC containing levonorgestrel and ethinyl estradiol, provides the option of prolonged contraception in the 84+7 mode. On the example of this drug, the review addresses the issues of contraceptive and therapeutic effectiveness, acceptability and prospects for using fixed, prolonged contraceptive regimens.
