[Which contraception to choose for the diabetic woman?].
Low-dose oral contraceptives can be used by a great number of women with IDDM or a previous gestational diabetes mellitus. Others hormonal contraceptives (progestogen-only preparations) are less convenient and the compliance is poor with an increasing risk of gynaecologic side effects. The safety of this contraceptives as regards vascular diabetic complications is not evaluated well. Nulliparous patients with progressive complications can use barrier methods of contraception after education. Macroprogestative contraception is a adequate choice for women within forties. For multiparous diabetic women, intra-uterine devices represent the first choice.
Bringer
J
J
Service des Maladies Endocriniennes, Hôpital Lapeyronie, 34295 Montpellier.
Raingeard
I
I
Lefebvre
P
P
Renard
E
E
D003276:Contraceptives, Oral / Q000009:adverse effects / Q000145:classification*; D003922:Diabetes Mellitus, Type 1 / Q000503:physiopathology* / Q000523:psychology / Q000534:rehabilitation; D016640:Diabetes, Gestational; D005260:Female; D005831:Genital Diseases, Female / Q000139:chemically induced / Q000453:epidemiology; D006801:Humans; D010349:Patient Compliance; D010353:Patient Education as Topic; D011247:Pregnancy; D012307:Risk Factors
D003276:Contraceptives, Oral
Quelle contraception choisir pour la femme diabétique?