medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2019-3-25(400)-6-10medalphabet-1162Research ArticleСтатьиПереходный период эстроген-гестагенной гормональной терапииTransition period of estrogen-progestogen hormone therapyКузнецоваИ. В.KuznetsovaI. V.

д. м. н., проф. кафедры акушерства и гинекологии № 1, Институт клинической медицины

г. Москва

Moscow

ФГАОУ ВО «Первый Московский государственный медицинский университет имени И. М. Сеченова (Сеченовский университет)» Минздрава РоссииРоссияFirst Moscow State Medical University n. a. I. M. SechenovRussian Federation201919112019325Современная гинекология610Copyright © Кузнецова И.В., 20192019Кузнецова И.В.Kuznetsova I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/1162

Комбинированная гормональная контрацепция является эффективным методом предохранения от беременности и вместе с тем обладает рядом терапевтических эффектов. Потребность в контрацепции сохраняется вплоть до окончательного прекращения менструальной функции, но в старшем фертильном возрасте подбор гормонального средства становится непростой задачей. За предшествовавшие годы у женщины накапливаются факторы, которые могут осложнить применение гормональных препаратов, и, с другой стороны, в переходном периоде жизни возникают новые проблемы, разрешить которые способны комбинированные противозачаточные средства. Не менее актуальной темой становится вопрос о прекращении приема комбинированных гормональных контрацептивов и инициации менопаузальной гормональной терапии. Все перечисленные аспекты использования гормональных препаратов требуют глубокого осмысления для адекватного ведения женщин, вступающих в завершающую фазу репродуктивной жизни.

Combined hormonal contraception is an effective method of preventing pregnancy and at the same time has a number of therapeutic effects. The need for contraception persists until the final cessation of menstrual function, but at an older fertile age, the selection of a hormonal agent becomes a daunting task. Over the past years, a woman has accumulated factors that can complicate the use of hormonal drugs, and, on the other hand, new problems arise in the transitional period of life, which combined contraceptives can solve. An equally relevant topic is the question of stopping the use of combined hormonal contraceptives and initiating menopausal hormone therapy. All of the above aspects of the use of hormonal drugs require deep understanding for the adequate management of women entering the final phase of reproductive life.

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The authors declare that there are no conflicts of interest present.