Noncontraceptive Benefits of 17β-Estradiol COCs During Adolescence

In: ISGE Series · 2014 · pp. 25–27 · doi:10.1007/978-3-319-03494-2_4 · W180123721
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This review discusses the noncontraceptive benefits of 17β-estradiol oral contraceptives in adolescents, including improved acne, menstrual regulation, cancer prevention, and bone mass protection.

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This book chapter discusses noncontraceptive benefits attributed to new-generation combined oral contraceptives containing 17β-estradiol in adolescent populations, focusing on combined effects with progestins. It highlights outcomes such as improved acne, menstrual cycle regulation, reduced risks of endometrial and ovarian cancers, prevention of benign ovarian cysts, management of endometriosis, mitigation of pelvic inflammatory disease severity, bone mass protection, and benefits for polycystic ovarian disease as well as effects on liver function and lipid profiles, while also noting that negative effects should be considered before treatment. The chapter does not present new adolescent study data; instead, it synthesizes previously reported claims, with an implicit limitation that it is not an original empirical investigation with defined methods or effect sizes. Relevance to endometriosis: it explicitly lists “the management of endometriosis” among the noncontraceptive benefits of 17β-estradiol combined oral contraceptives during adolescence, though the chapter’s main focus is broad noncontraceptive uses of hormonal contraception.

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Abstract

Adolescent sexuality and reproductive health care is a discussion topic with issues related to adolescent pregnancies, termination of undesired pregnancies, contraception for adolescents, prevention and treatment of sexually transmitted diseases, and other gynecological pathologies. The noncontraceptive benefits of the new-generation 17β estradiol oral contraceptives have been studied in combination with the favorable effects of the progestins as the improvement of acne, the regulation of the menstrual cycle, the prevention of endometrial and ovarian cancers, the prevention of benign ovarian cysts, the management of endometriosis, the severity of pelvic inflammatory diseases, the protection of bone mass, the management of the polycystic ovarian disease, as well as the beneficial effect on the liver function and the lipid profile. Adolescents are usually unaware of the beneficial effects of the oral contraceptives and especially for the effects of the young generation pills. Thus consultation on contraception should include frank explanation on the use and action of the pills as well as for their long-term beneficial effects. On the other hand, the oral contraceptives’ “negative effects” should be considered before treatment. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Keywords

- Oral Contraceptive - Pelvic Inflammatory Disease - Ethinyl Estradiol - Combine Oral Contraceptive - Ethinyl Estradiol These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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