Vaginal Placement of the Oral Contraceptive Pill: A Safe Alternative?

Autor: Potvin, William, Reid, Robert L.
Zdroj: Journal of Obstetrics and Gynaecology Canada; May 1997, Vol. 19 Issue: 5 p523-526, 4p
Abstrakt: Vaginal placement of aral contraceptive tablets offers a reasanable alternative when a woman is unable to ingest her oral contraceptive. The literature supports this method as a safe and effective method of birth control. In addition, administration of contraceptive steroids by the vaginal route offers the potential advantage of avoiding such side effects as nausea, vomiting ar headache associated with gastric absorption. International multi-centre trials have shown that this unorthodox new route of using contraceptives, when explained fully to women, finds comparable acceptance to the oral route of administration. Side effects were infrequent (less than 5% of users) leukorrhoea and vaginal discharge being the most common. Lower circulating steroid levels seen with vaginal administration suggest that two 35µg ethinyl estradiol tablets, or a pill containing at least 50µg of ethinyl estradiol, should be placed intravaginally in situations where oral administration is impossible.
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