论文部分内容阅读
在美国妇女中,绝育仍是最普遍的避孕选择,其安全与功效是可逆性控制生育方法所无法比拟。常见的绝育副作用有时涉及月经的改变,称为“输卵管结扎后综合征”,但问题是手术本身是否是致病原因。Hulka 博士认为:机械的绝育除了妨碍生殖外,不应干扰任何生物学的功能。美国国立卫生研究所(NIH)的避孕研究部门的设计主任 Wolf正在进行四个关于绝育后遗症的研究。以前有些研究指出:输卵管凝结法或 Pomeroy 式绝育术使妇女孕酮的产生减少,但这并未被众多的医学团体接受。NIH 正在对绝育妇女术前及术后月经中期孕酮量进行测试研究,并在术后二年内连续测试。另有二个研究是回顾性的,主要依靠查阅病历,分别观察45,000例和8,000例。Wolf 认为:在这些回顾,
Sterilization is still the most common choice among contraceptives in the United States, and its safety and efficacy are irreversible. Common side effects of sterilization are sometimes related to menstrual changes, known as “tubal ligation syndrome,” but the question is whether the surgery itself is the cause of the disease. Dr. Hulka argues that mechanical sterilization should not interfere with any biological function except as a barrier to reproduction. Wolf, the design director of the contraceptive research unit at the National Institutes of Health, is conducting four studies on sequelae of sterilization. Some previous studies have pointed out: tubal coagulation or Pomeroy sterilization sterilization of progesterone in women to reduce, but this has not been accepted by many medical groups. NIH is testing the pre-and post-menstrual menstrual progesterone levels in sterile women and testing them continuously for two years after surgery. The other two studies were retrospective and mainly relied on medical records to observe 45,000 and 8,000 cases, respectively. Wolf thinks: In these reviews,