title: [Contraceptions in women with contra-indication to estrogen-progestins].
abstract: Estrogen-progestin pill contra-indications can be related to a metabolic or vascular risk or to an estrogen-dependent disease. In the first case, a pregnane progestin (chlormadinone acetate or cyproterone acetate) can be used as a first choice, because of its good tolerance and absence of deleterious effects on these diseases. IUD use is limited due to the risk of infection and a decreased efficiency with corticosteroids. Diaphragm plus spermicides or condoms can be used in any case and are the only possibilities during the course or just after a deep vein thrombosis. In case of estrogen-dependent diseases, high-dose progestin is the treatment of the diseases in most of the cases and normethyl-testosterone derivatives or other progestin can be used.
authors.affiliation: Service de gynécologie-obstétrique, Hôtel-Dieu, Paris.
authors.forename: A
authors.initials: A
authors.lastname: Gompel
mesh_terms: D003267:Contraception / Q000379:methods*; D003274:Contraceptive Devices, Female / Q000145:classification; D003278:Contraceptives, Oral, Hormonal / Q000008:administration & dosage; D000075202:Contraindications; D004967:Estrogens; D005260:Female; D006801:Humans; D008659:Metabolic Diseases; D011372:Progestins; D014652:Vascular Diseases
chemical_list: D003278:Contraceptives, Oral, Hormonal; D004967:Estrogens; D011372:Progestins
vernacular_title: Contraceptions chez des femmes ayant une contre-indication aux oestroprogestatifs.