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Sequential contraceptive pills in the immediate postabortion period

Sequential contraceptive pills in the immediate postabortion period

Contraception Fertilite Sexualite 10(5): 307-310

2637 abortions were done during 1980 at the Bionne Orthogenic Center in Montpellier, France. 12.83% of women treated were not using contraception at the time of conception; 61.89% had been using OC (oral contraception); reasons for not using contraception were lack of information, negligence, 1st sexual relation, and fear. 8.9% of women had undergone a previous induced abortion; 47.26% were unmarried, 35.52% were married, and 52.12% had no children. A sequential combination pill, 50 mcg of ethinyl estradiol for 7 days, and 50 mcg of ethinyl estradiol and 2.5 mg of lynestrenol for the next 15 days, was prescribed beginning the day after abortion for 2320 women, or 88% of the total. Purpose of this treatment was to prevent hemorrhage, the formation of synechiae, and to favor an early return to normal endometrial physiology. Sequential OCs have the advantage of simulating a regular biphasic cycle, thus allowing the cicatrization of the placental scar, the return to normal of the uterine mucosa, and the hypervascularization of the endometrium; all these factors contribute to decreasing the risk of infection, such as endometritis. Effectiveness and acceptability of this method were excellent. After 3 months of this treatment a more specific type of contraception may be advisable.

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Accession: 047340986

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PMID: 12338183

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