Progesterone contraceptives: a place in practical gynecology (to practitioner aid)

• Main Authors: Y E Dobrokhotova, E I Borovkova, S A Zalesskaya
• Format: Article
• Language: Russian
• Published: IP Berlin A.V. 2018-06-01
• Series: Гинекология
• Subjects: oral contraception; progesterone; desogestrel; progestin oral contraceptives; lactation
• Online Access: https://gynecology.orscience.ru/2079-5831/article/viewFile/30081/pdf_1

Progesterone-containing contraceptives do not have a significant impact on metabolic processes and can be prescribed to patients with systemic (diabetes mellitus, obesity) and other diseases. Desogestrel is a part of oral preparations in a dose of 75 mcg. The main mechanism of its contraceptive action is Suppression of ovulation (in 97% of cases). The frequency of pregnancy is 0.17 for 100 women-years. Progesterone-containing contraceptives should not be considered, as preparations of the second choice when deciding on the issue of family planning. According to the recommendations of the Center for Disease Control and Prevention organization of health, desogestrel is an acceptable contraceptive option for women with somatic diseases, defined tumor pathology and thrombotic states in the anamnesis.