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“在过去十年中，德语国家的激素避孕药（HK）使用量呈现下降趋势。这一趋势可能源于人们对激素的普遍怀疑，也与媒体部分夸大的副作用担忧有关。尽管如此，激素避孕药仍是仅次于避孕套的最常用避孕手段。为了确保使用者的满意度及其对所选避孕方法的依从性，我们必须根据她们的具体需求提供个性化的咨询，并不断更新基于证据的咨询内容。这一点对所有女性都同样重要，但对于处于高风险状况的女性而言尤为重要且更具挑战性。本期《妇科内分泌学》的专题文章旨在以实用的方式，传达关于某些高风险情况的最新知识。”
有研究表明，长期使用孕激素治疗会增加脑膜瘤的风险。这对纯孕激素类药物的处方有何影响？特别是在偶然发现的无症状脑膜瘤情况下，该如何处理？Gabriele S. Merki-Feld通过介绍当前的研究数据，为临床实践提供了决策参考。
“在高风险情况下，避孕咨询应当基于循证医学原则，并充分考虑使用者的实际需求。”
复合激素避孕药（KHK）会 doubles the risk of myocardial infarcts and ischemic strokes. Although the incidence of these cardiovascular events is low during the reproductive years, the resulting morbidity and mortality are significant, making it essential to identify increased cardiovascular risks before using KHK. Sabine Segerer elaborates on the proper approach. A particular challenge arises when choosing the right contraceptive for women with known depression or cycle-related depressive symptoms (premenstrual dysphoric syndrome); Anne Muendane provides an overview of available options for this complex issue.
Consulting patients with serious chronic diseases regarding family planning and contraception also presents significant challenges. Angela Niggli and Inessa Diomande address whether and when激素避孕药 are appropriate after breast and ovarian cancer. Johanna Oechtering discusses the clinical relevance of hormone contraception and family planning for women with multiple sclerosis (MS), especially in the context of disease-modifying therapies. If chronic diseases or other health issues are present from childhood or adolescence, this often creates additional risks regarding hormone use. Ruth Draths and Larissa Greive, experts in pediatric and adolescent gynecology, explain what should be considered in providing guidance to these young patients.
These articles aim to enhance our understanding of the possibilities and limitations of modern hormone and non-hormone contraceptive methods. Knowledge in this area is fundamental for providing personalized, evidence-based advice. We hope the selected topics resonate with you and wish you a rewarding reading experience.