By E. Diczfalusy (auth.), Professor Dr. A. A. Haspels, Professor Dr. R. Rolland (eds.)
A. A. Haspe/s it's with excitement that I welcome you, on behalf of Professor Rolland and myself, to Amsterdam for this overseas Symposium on 'Benefits and dangers of Hormonal Contraception'. As a way offamily making plans the tablet is ready 25 years previous - a timespan which has been characterised by way of a major elevate in public curiosity and hindrance with relatives healthiness and family-planning. unquestionably we've discovered much during the last 25 years. As you notice in determine 1, within the seventies in Holland quite extra fertile girls used the tablet than in the other kingdom on this planet. In 1974 new mix capsules have been brought containing lower than 50 JAg of ethinyl estradiol. In 1981 50 % of Dutch capsule clients took a sub-50 (Figure 2). a similar is correct for the Scandi navian nations. In our personal collage medical institution ninety five % of pill-users take a sub-50 capsule; in basic terms five % use a 50 JAg capsule on scientific indication. This reduce in estrogen dosage, that is often observed via a reduce of progestational part besides, has ended in a reduce of thromboembolic sickness. components which are nonetheless very important to contemplate are diabetes mellitus, high blood pressure, adipositas and smoking. wide variety of sufferers including the prescribing the place attainable of sub-50 drugs can result within the numbers of compli cations and side-effects being with regards to these encountered within the regulate group.
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Extra resources for Benefits and Risks of Hormonal Contraception: Has the Attitude Changed?
Lancet, 2, 727 2. Vessey, M. , McPherson, K. andJohnson, B. (1977). Mortality among women participating in the Oxford Family Planning Association contraceptive study. Lancet, 2, 731 3. Petitti, D. , Pellegrin, F. and Ramcharan, S. (1979). Risk of vascular disease in women: smoking, oral contraceptives, non-contra- 30 ORAL CONTRACEPTIVE USAGE AND ISCHEMIC HEART DISEASE ceptive estrogens and other factors. J. Am .. Med. , 242, 1150 4. Horwitz, R. 1. and Feinstein, A. R. (1979). Methodological standards and contradictory results in case-control research.
As a result, the President of the American Society of Gynecologists, H. L. Stone, as well as R. L. Miller, worried by this trend, attacked these reports verbally at the Congress of the Society in 1980, and in writing: 'The extra-ordinary zeal with which investigators have researched the pill has no precedent in medicine. They have found very little good in it and have brayed at the top of their lungs vis-a-vis media about all the possible problems in a manner some of us find quite offensive'! Further comments have underlined these observations: THE BIG THREE 'P/S: PROMISCUITY PERMISSIVENESS PILLS ENCOURAGE VENEREAL DISEASES Figure 9 'Both of the monetary support and the ego satisfaction, radio, television, and newspapers are used to spread the word.
Lto 6th cvcles ~g levonorgestrel Figure 5 Percentage of women reporting intermenstrual bleeding/spotting before and during treatment 50 CLINICAL EVALUATION OF TRIPHASIC ORAL CONTRACEPTIVES Body weight The vast majority of women, approximately 85 % , retained their pretreatment weight within a variation of ± 2 kg following the sixth treatment cycle. Side-effects Side-effects reported by the users were of the types commonly associated with oral contraceptive use and their significance to the types of treatment given was not possible to evaluate with certainty.
Benefits and Risks of Hormonal Contraception: Has the Attitude Changed? by E. Diczfalusy (auth.), Professor Dr. A. A. Haspels, Professor Dr. R. Rolland (eds.)