Poster Session
Context: In gynecological practice there are situations in which, for a certain symptomatology, one can resort to hormonal treatment as an alternative to other pharmacological producs or even to surgical treatment. Objective: To determin the usefulness of contraceptives in gynecological pathologies Methodes: We conducted a retrospective study in order to analyze the various situations where the administration of hormonal contraception had therapeutical effect. Patients: We included 180 women treated in our clinic between 01.01.2015-30.09.2017 and we grouped them according to the dominant complain. Thus we obtained 3 groups: A – pelvic pain - 57 patients, B - irregular menstrual cycles - 88 patients, C – changes in menstrual cycle pattern - 45 patients. Interventions: no intervention. We analysed what pathology caused the symptomatology and the opportunity of hormonal treatment. Main Outcome Measures: With regard to group A, after exclusion of pelvic inflammatory disease, patients with dysmenorrhea and dyspareunia, symptomatology frequently associated with endometriosis, adenomyosis or POCS received monophasic oral contraceptives. At 6-month control, the anti-algic administration rate was halved on average, and the patients had a 90% satisfaction rate and continued receiving oral contraceptives. Group B - menstrual disorders, included 88 patients with POCS. They received oral contraceptive therapy with progestin with antiandrogenic action. At the 6-month control, all patients reported regular menstrual cycles, and about half observed decreased acnee and hirsutism. Group C - women in perimenopause 40 -43 years, 15 patients were diagnosed also with uterine leiomyoma for which the opportunity for surgery was considered and it was decided to postpone it. All patients benefited from a levonorgestrel IUD. Of these, only 3 patients have requested IUD removal and surgery within the first 6 months. Of the remaining, 80% observed the improvement of symptoms after the first months. Results: out of 180 patients, 177 had good outcome using contraceptives as an alternative. Conclusions: Although appearing on the market for contraceptive effects, many contraceptive methods can also be used for therapeutic purposes, thus reducing the use of anti-algic, dermatological drugs and even the rate of surgery. It remains to be studied the long-term effect on the endometrial hyperplasia rate in patients with micropolicystic ovaries treated oral contraceptives.