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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2022-24-27-30</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-2832</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Комбинированная гормональная контрацепция: причины отказа и применение у женщин групп высокого риска</article-title><trans-title-group xml:lang="en"><trans-title>Combined hormonal contraception: reasons for refusal and use in high-risk women</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9481-8812</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кравченко</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kravchenko</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кравченко Елена Николаевна, д. м. н., проф., профессор кафедры акушерства и гинекологии</p><p>г. Омск</p></bio><bio xml:lang="en"><p>Kravchenko Elena N., DM Sci (habil.), professor, professor of the Department of Obstetrics and Gynecology of the 1st Federal State Budgetary Educational Institution of Higher Education</p><p>Omsk</p></bio><email xlink:type="simple">kravchenko.en@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Омский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Omsk State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>20</day><month>11</month><year>2022</year></pub-date><volume>0</volume><issue>24</issue><issue-title>Современная гинекология (2)</issue-title><fpage>27</fpage><lpage>30</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Кравченко Е.Н., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Кравченко Е.Н.</copyright-holder><copyright-holder xml:lang="en">Kravchenko E.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-alphabet.com/jour/article/view/2832">https://www.med-alphabet.com/jour/article/view/2832</self-uri><abstract><sec><title>Цель</title><p>Цель. В статье рассматриваются возможность использования комбинированной гормональной контрацепции, причины отказа и применение у женщин групп высокого риска.</p></sec><sec><title>Методы</title><p>Методы. Проведен обзор данных за 5 лет, проанализированы факторы, которые привели к отказу использования этого вида контрацепции. Собрана информация о руководящих принципах действий у пациентов с высоким риском появления побочных эффектов, использующих комбинированную гормональную контрацепцию.</p></sec><sec><title>Выводы</title><p>Выводы. Страх женщин перед нежелательными явлениями и формированием проблем со здоровьем является одной из основных причин отказа от применения контрацептивов или полного прекращения их использования. Будущие исследования должны изучить предвзятость пользователей к гормональной контрацепции для лучшего понимания контроля над рождаемостью, улучшения соответствия потребностям и ожиданиям женщин и мужчин сегодня.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Purpose</title><p>Purpose: the article discusses the possibility of using combined hormonal contraception, the reasons for refusal and the use in women of high-risk groups.</p></sec><sec><title>Methods</title><p>Methods: a review of data for 5 years was carried out, the factors that led to the refusal to use this type of contraception were analyzed. Information has been collected on the guidelines for action in patients with a high risk of side effects using combined hormonal contraception.</p></sec><sec><title>Conclusions</title><p>Conclusions: women’s fear of adverse events, the formation of health problems, are one of the main reasons for refusing to use contraceptives or completely stopping their use. Future research should explore user bias towards hormonal contraception for a better understanding of birth control, better matching the needs and expectations of women and men today.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>комбинированная гормональная контрацепция</kwd><kwd>причины отказа</kwd><kwd>применение у женщин групп высокого риска</kwd></kwd-group><kwd-group xml:lang="en"><kwd>combined hormonal contraception</kwd><kwd>reasons for refusal</kwd><kwd>use in high-risk women</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Abbe CR, Page ST, Thirumalai A. Male Contraception. Yale J Biol Med. 2020 Sep 30;93(4):603–613. PMID: 33005125; PMCID: PMC 7513428.</mixed-citation><mixed-citation xml:lang="en">Abbe CR, Page ST, Thirumalai A. Male Contraception. Yale J Biol Med. 2020 Sep 30;93(4):603–613. 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