Review article
Oral Contraceptives in Dermatology
Contracepción Hormonal Oral en Dermatología
B. Sanchoa, A. Guerra-Tapiab,
Corresponding author
aguerra.hdoc@salud.madrid.org
Correspondence: Servicio de Dermatología, Hospital Universitario 12 de octubre, Avda. de Córdoba, s/n, 28041 Madrid, Spain.
Correspondence: Servicio de Dermatología, Hospital Universitario 12 de octubre, Avda. de Córdoba, s/n, 28041 Madrid, Spain.
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In healthy, nonsmoking women, oral contraception does not increase the risk of cerebral or cardiac vascular disease and is associated with major benefits besides avoiding pregnancy. These include prevention of ovarian and endometrial carcinoma, ectopic pregnancy, pelvic inflammatory disease, ovulation pain, and menstrual cycle disorders. This article will review the mechanism of action, side effects, health risks, contraindications, initiation of the oral contraceptive regimen, and patient follow-up, as well as interactions between contraceptives and other drugs.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Tanto los síndromes de androgenización y las enfermedades que empeoran con el embarazo, como la medicación de riesgo para el feto de uso habitual en Dermatología precisan la prescripción de contraceptivos por parte del dermatólogo. En mujeres sanas, no fumadoras, la anticoncepción oral no aumenta el riesgo de enfermedad cardiovascular (cerebral o cardiaca), y está asociada a grandes beneficios no anticonceptivos, incluidos la importante prevención del carcinoma de ovario y de endometrio, de la gestación ectópica, la enfermedad inflamatoria pélvica, el dolor ovulatorio y los trastornos del ciclo menstrual. Se revisan el mecanismo de acción, los efectos secundarios, los riesgos para la salud, las contraindicaciones, el inicio y el seguimiento del uso de los anticonceptivos orales, así como las interacciones de los anticonceptivos con otros fármacos.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical Gynecologic Endocrinology and Infertility. Chapter 22: Oral Contraception" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L. Speroff" 1 => "M.A. Fritz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "edicion" => "7th ed." "fecha" => "2006" "editorial" => "Lippincott, Williams and Wilkins" "editorialLocalizacion" => "Philadelphia" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Manual de anticoncepción hormonal oral" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Grupo de trabajo sobre anticoncepción hormonal oral" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1997" "editorial" => "Ed. Carlos Buil Rada" "editorialLocalizacion" => "Zaragoza" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The new option in low dose oral contraception" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P. Lopes" 1 => "S.R. Killick" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1996" "editorial" => "The Parthenon Publishing Group" "editorialLocalizacion" => "Montpellier" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Sociedad Española de Contracepción. Conferencia de Consenso sobre Anticoncepción. Toledo 2-5 de octubre, 1997." ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An overview of oral contraceptives: mechanism of action and clinical use" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C.A. Frye" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1038/nrneurol.2009.196" "Revista" => array:6 [ "tituloSerie" => "Neurology" "fecha" => "2006" "volumen" => "6" "paginaInicial" => "29" "paginaFinal" => "36" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20057497" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Gynecology. Principles for practice. Chapter 42: Contraception" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "F.W. Wing" 1 => "P. Duff" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2001" "editorial" => "McGraw-Hill" "editorialLocalizacion" => "Memphis" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010000000006/v1_201304241459/S1578219009701003/v1_201304241459/en/main.assets" "Apartado" => array:4 [ "identificador" => "6224" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Review article" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010000000006/v1_201304241459/S1578219009701003/v1_201304241459/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219009701003?idApp=UINPBA000044" ]
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