Métodos anticoncepcionais hormonais
2008
A orientacao e a utilizacao da anticoncepcao abrangem um grande periodo de vida da mulher, que vai do menacme a menopausa, atingindo varios segmentos de faixa etaria. Nenhum metodo podera satisfazer as necessidades de todas as mulheres nas diversas etapas de sua vida reprodutiva, pois variam quanto a: eficacia, efeitos secundarios, formas de uso e custo. Assim, o aconselhamento sobre todos os metodos e indispensavel para que as pessoas tomem decisoes adequadas. Nos ultimos anos ocorreram grandes avancos no conhecimento cientifico, em relacao ao desenvolvimento e pesquisa de novos metodos contraceptivos hormonais. A Organizacao Mundial de Saude, no sentido de facilitar e auxiliar os orientadores e prescritores de anticoncepcao, elaborou uma classificacao para adequar o uso dos metodos contraceptivos hormonais na presenca de algumas condicoes (idade, paridade) ou de intercorrencias clinicas, cirurgicas ou ginecologicas. Os riscos e beneficios da utilizacao dos metodos contraceptivos foram avaliados de forma criteriosa, podendo auxiliar a opcao mais adequada de contracepcao. Contraceptive counseling and its use are part of women's lives from menarche to menopause, thus spanning through a woman's lifetime. Since each method has a different profile in terms of effectiveness, collateral effects, usage and costs, no single contraceptive is expected to meet the demands of every woman throughout the various phases of her reproductive life. Therefore, contraceptive counseling is essential in assiting women make appropriate choices. In the last years there have been important scientific advances in the field of contraceptive research and development. In this context, the World Health Organization has created a classification that is useful to the people in charge of counseling and prescribing contraceptive methods. This classification takes into consideration some demographic variables (age, parity) as well as clinical, surgical and gynecological conditions. The risks and benefits of each contraceptive method have been carefully assessed, thus allowing a judicious choice to be made.
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