Hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory disease

<b>Hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory disease<br> </b><br> M.S. Selikhova, P.A. Soltys, A.A. Smol’yaninov<br> <br> Volgograd State Medical University, Volgograd, Russian Federatio...

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Main Authors: Selikhova M.S, P.A. Soltys, A.A. Smol’yaninov
Format: Article
Language:Russian
Published: LCC «Medicine-Inform» 2019-07-01
Series:РМЖ. Мать и дитя
Online Access:http://wchjournal.com/upload/iblock/269/2694851a8cb7b31e7c61a55ab0ab7045.pdf
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author Selikhova M.S
P.A. Soltys
A.A. Smol’yaninov
author_facet Selikhova M.S
P.A. Soltys
A.A. Smol’yaninov
author_sort Selikhova M.S
collection DOAJ
description <b>Hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory disease<br> </b><br> M.S. Selikhova, P.A. Soltys, A.A. Smol’yaninov<br> <br> Volgograd State Medical University, Volgograd, Russian Federation<br> <br> <b>Aim</b>: To study the effect of pelvic inflammatory disease (PID) on female reproductive functions and the importance of hormonal contraception for the rehabilitation of these women.<br> <b>Patients and Methods:</b> The study included two steps. During step 1, 117 women with acute manifestations of PID were examined. These women were subdivided into 2 groups. Group 1 included 36 women (30.8%) with acute PID diagnosed for the first time. Group 2 included 81 women with exacerbations of chronic PID (69.2%). During step 2, the effects of combined oral contraceptive pills (COCPs) on the rehabilitation of 87 women were analyzed.<br> <b>Results</b>: Our findings demonstrate that PID is diagnosed in the active reproductive age (29.4±4.9 years). In a half of these women, reproductive function was not realized. Adequate antibiotic therapy considering antibiotic susceptibility does not provide complete rehabilitation after the disease. In the second stage 87 women took part, 21 of them women received COCPs (Midiana<sup>®</sup>) for a year after PID, 47 — for 6 months, 8 — for 3 months, 11 — did not received COCs. In 3 women who did not received COCPs (27.3%), inflammation has exacerbated. Menstrual disorders were reported in 5 women (45.5%).<br> <b>Conclusions</b>: Combined single-phase low-dose contraceptive containing 30 μg of ethinylestradiol and 3 mg of drospirenone (Midiana<sup>®</sup>) provides rehabilitation after PID thus preventing PID recurrences within a year, regaining regular menstrual cycle, and restoring reproductive potential.<br> <br> <b>Keywords</b>: active reproductive age, pelvic inflammatory disease, rehabilitation, single-phase low-dose contraceptive, decrease in recurrence rate, regaining menstrual cycle, contraception.<br> <b>For citation:</b> Selikhova M.S., Soltys P.A., Smol’yaninov A.A. Hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory disease. Russian Journal of Woman and Child Health. 2019;2(2):102–106.<br>
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spelling doaj.art-a3caeea83b9746d1ac63443385f7ae242024-02-26T10:13:31ZrusLCC «Medicine-Inform»РМЖ. Мать и дитя2618-84302686-71842019-07-012232313Hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory diseaseSelikhova M.S0P.A. Soltys1A.A. Smol’yaninov2Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399<b>Hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory disease<br> </b><br> M.S. Selikhova, P.A. Soltys, A.A. Smol’yaninov<br> <br> Volgograd State Medical University, Volgograd, Russian Federation<br> <br> <b>Aim</b>: To study the effect of pelvic inflammatory disease (PID) on female reproductive functions and the importance of hormonal contraception for the rehabilitation of these women.<br> <b>Patients and Methods:</b> The study included two steps. During step 1, 117 women with acute manifestations of PID were examined. These women were subdivided into 2 groups. Group 1 included 36 women (30.8%) with acute PID diagnosed for the first time. Group 2 included 81 women with exacerbations of chronic PID (69.2%). During step 2, the effects of combined oral contraceptive pills (COCPs) on the rehabilitation of 87 women were analyzed.<br> <b>Results</b>: Our findings demonstrate that PID is diagnosed in the active reproductive age (29.4±4.9 years). In a half of these women, reproductive function was not realized. Adequate antibiotic therapy considering antibiotic susceptibility does not provide complete rehabilitation after the disease. In the second stage 87 women took part, 21 of them women received COCPs (Midiana<sup>®</sup>) for a year after PID, 47 — for 6 months, 8 — for 3 months, 11 — did not received COCs. In 3 women who did not received COCPs (27.3%), inflammation has exacerbated. Menstrual disorders were reported in 5 women (45.5%).<br> <b>Conclusions</b>: Combined single-phase low-dose contraceptive containing 30 μg of ethinylestradiol and 3 mg of drospirenone (Midiana<sup>®</sup>) provides rehabilitation after PID thus preventing PID recurrences within a year, regaining regular menstrual cycle, and restoring reproductive potential.<br> <br> <b>Keywords</b>: active reproductive age, pelvic inflammatory disease, rehabilitation, single-phase low-dose contraceptive, decrease in recurrence rate, regaining menstrual cycle, contraception.<br> <b>For citation:</b> Selikhova M.S., Soltys P.A., Smol’yaninov A.A. Hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory disease. Russian Journal of Woman and Child Health. 2019;2(2):102–106.<br>http://wchjournal.com/upload/iblock/269/2694851a8cb7b31e7c61a55ab0ab7045.pdf
spellingShingle Selikhova M.S
P.A. Soltys
A.A. Smol’yaninov
Hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory disease
РМЖ. Мать и дитя
title Hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory disease
title_full Hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory disease
title_fullStr Hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory disease
title_full_unstemmed Hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory disease
title_short Hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory disease
title_sort hormonal contraception and its role for the maintenance of reproductive potential in women with pelvic inflammatory disease
url http://wchjournal.com/upload/iblock/269/2694851a8cb7b31e7c61a55ab0ab7045.pdf
work_keys_str_mv AT selikhovams hormonalcontraceptionanditsroleforthemaintenanceofreproductivepotentialinwomenwithpelvicinflammatorydisease
AT pasoltys hormonalcontraceptionanditsroleforthemaintenanceofreproductivepotentialinwomenwithpelvicinflammatorydisease
AT aasmolyaninov hormonalcontraceptionanditsroleforthemaintenanceofreproductivepotentialinwomenwithpelvicinflammatorydisease