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Erschienen in: Gynäkologische Endokrinologie 2/2017

25.01.2017 | Kontrazeption | CME

Hormonelle Kontrazeption in Risiko- und Spezialsituationen

verfasst von: PD Dr. S. Segerer

Erschienen in: Gynäkologische Endokrinologie | Ausgabe 2/2017

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Zusammenfassung

Schwerwiegende Komplikationen unter hormoneller Kontrazeption, z. B. venöse Thrombembolien oder ein Myokardinfarkt, betreffen überwiegend Frauen mit Risikofaktoren oder genetischer Prädisposition. Wichtig bei der Auswahl eines geeigneten Kontrazeptivums für Risikopatientinnen sind daher eine gezielte Eigen- und Familienanamnese bei Erstverordnung sowie eine allgemeine und gynäkologische Untersuchung, um mögliche Fallstricke vorab zu identifizieren. Wichtige kardiovaskuläre Risikofaktoren sind arterieller Hypertonus, Adipositas, Dyslipidämien, Rauchen und Diabetes mellitus. Bei Thrombophilien und im Falle von Systemerkrankungen wie Lupus erythematodes sollte ebenfalls ein erhöhtes Thromboserisiko berücksichtigt werden. Hilfreich bei der Entscheidung sind in der Praxis die Empfehlungen der World Health Organization, die auch die Kontrazeption in Sondersituationen abdecken. In einigen Fällen sind jedoch Einzelfallentscheidungen notwendig, ggf. auch in einem interdisziplinären Rahmen.
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Metadaten
Titel
Hormonelle Kontrazeption in Risiko- und Spezialsituationen
verfasst von
PD Dr. S. Segerer
Publikationsdatum
25.01.2017
Verlag
Springer Medizin
Erschienen in
Gynäkologische Endokrinologie / Ausgabe 2/2017
Print ISSN: 1610-2894
Elektronische ISSN: 1610-2908
DOI
https://doi.org/10.1007/s10304-016-0106-y

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