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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.





YEAR: 1992




CATEGORY: Contraception (Birth Control) and Family Planning



TITLE



LHRH analogues for contraception in women.



AUTHORS

Fraser HM


SOURCE

CONTRACEPTION. 1992 Aug;46(2):183-8.



ABSTRACT

A brief summary of the status of luteinizing hormone-releasing hormone (LH-RH) analogs and antagonists as

contraceptive agents concludes that the analogs are well suited for postpartum contraception and the antagonists

may be potential postcoital agents. LH-RH analogs have been tried in both continuous and intermittent schedules,

but cause problems, either those of estrogen deficit in the case of continuous use or unpredictable bleeding in

intermittent doses. They appear ideal, however, for postpartum contraception in women who breast feed and want to

space pregnancy. LH-RH agonists suppress estrogen levels, but this is normal in the postpartum. They are small

peptides that are digested by the child's gut if they appear in breast milk. The analogs buserelin and nafarelin are

currently given by nasal spray, an impractical and wasteful route of administration, especially for developing areas.

Depot formulations, rods, disks, or microcapsules for injection are being worked out, typically polylactide-glycolide

copolymers, which are biodegradable to naturally occurring metabolites. 3-6 mg will suppress pituitary function for 3

months. More research is needed to keep the initial release rate in physiological range. These agents are also

being considered for long term contraception in western women, to mimic the persistent amenorrhea that existed in

previous eras. LH-RH antagonists face many more problems as contraceptive agents; they have irritating side

effects, releasing histamine locally; require high doses, and last only 1-3 days; may be overridden by the pituitary; or

the dominant follicle may become resistant. Nevertheless, LH-RH antagonists are potential postcoital methods for 1

time use, because they are effective briefly in both the follicular and luteal phase. Clinical trials have not yet been

conducted on LH-RH antagonists for postcoital agents. (PubHealth.info Document ID: CONT3T 1549-06)



PubHealth.info NOTE: The author(s) of this article titled, "LHRH analogues for contraception in women.", is(are)

Fraser HM. The source of this article is "CONTRACEPTION. 1992 Aug;46(2):183-8.". This article was published in

1992 in English language(s). (PubHealth.info® Document ID: CONT3T 1549-06. All rights reserved with

PubHealth.info) PIN: 11549





 

 

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