[Hormonal contraception - possibilities and problems].

Abstract

The wide-spread usual habits of contraception plead for the fact that hormonal contraceptives after a longer time, possibly till beyond the change of the millennium, will be applied as the most secure remedy of prevention of pregnancy. The author deals with the hormonal contraceptives being at the disposal in the GDR, such as combination preparations, sequential preparations week pill, minipill, postcoital contraception. It is referred to the fact that the variety of hormonal contraceptives being at our disposal is fully to be used and the prescription has to be done corresponding to the hormone-depending symptoms on the basis of the anamnesis. Mode of intake, reliability, control measures, the pro and contra of an interval in taking the pill, the prescription to young girls as well as the subdivision of the side-effects on account of their clinical importance are treated. The criteria which lead to the assessment of innocuousness and tolerability are also to be taken into consideration as the evidence got by casuistics, controlled clinical studies and epidemiological studies and its possible misinterpretations. The argument takes place on the basis of the mortality risks for cardiovascular diseases. The necessary consequences are pointed out: establishment of the mortality risks on the basis of GDR-owned cohort- and trohoc-studies, differentiation of the findings not only according to the hormonal contraceptives in general, but preparation-specific, increase of the autoresponsibility of the user.