Contraception for women with metabolic disorders
ESC Congress Library. Kazhyna M. May 10, 2018; 208154; ESC227
Prof. Maria Kazhyna
Prof. Maria Kazhyna
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Contraception for women with metabolic disordes (MD) remains an unresolved problem.  One of the reasons for refusing to take oral contraceptives is the fear to gain body weight while taking the pill.  Females with MD also have severe menorrhagia with decreasing of Hb level. The contraceptive of choice in such cases are dienogest-containing pills. Objective. To study the effect of dienogest-containg contraceptive  Qlaira on anthropometric measurements, metabolic status of patients with MD. Design and methods. 42 women at the age of 18-38 are involved in the research. The pill Qlaira containing estradiol valerate and dienogest is prescribed for the period of 6 months. Results. Analysis of the dynamics of anthropometric measurements showed no increase of body weight index, no statistically significant changes regarding glucose, insulin, HOMA, triglycerides, cholesterol, high-density lipoproteins in blood serum (p>0,05) at the time of taking Qlaira. Conclusions. The combined oral contraceptivel Qlaira can be taken by patients with MD for the period of six months without any risk of gaining weight and getting carbohydrate and lipid metabolism disorders.
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