Page 72 - GALENIKA MEDICAL JOURNAL

Zaključak

Efikasno savetovanje o kontracepciji i dalje predstavlja veliki izazov današnjice. Često je neophodna
uzajamna saradnja zdravstvenih radnika i pacijentkinja i zajedničko sagledavanje želja i potreba sa
jedne strane, i benefita i rizika sa druge. Razmatranje individualnog pristupa u donošenju odluka o
odabiru metoda kontracepcije je veoma značajno i moglo bi doprineti višem stepenu zadovoljstva,
prihvatanja i pridržavanja aktuelnog metoda . Međutim, iako postoji odlična efikasnost i
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zadovoljstvo tokom primene trenutnog vida kontracepcije, korisnice žele da znaju više. U prilog tome
svedoči i velika evropska TANCO studija u kojoj je učestvovalo 676 lekara i 6.027 korisnica i koja je
pokazala da postoji zainteresovanost o dobijanju više informacija o drugim metodama kontracepcije,
poput dugodelujućih reverzibilnih metoda (IUS), koje zdravstveni radnici mogu pružiti . Njihova
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uloga u savetovanju i podršci korisnica u očuvanju reproduktivnog zdravlja veoma je značajna.

Primena savremenih i dostupnih metoda kontracepcije u svim uzrasnim grupama u reproduktivnom
periodu, treba da omogući rađanje zdrave i željene dece, ali i da sačuva reproduktivno zdravlje,
posebno mladih, za period kada budu želeli da planiraju porodicu. Upotreba kontracepcije smanjuje
broj abortusa, a ne natalitet, dok hormonska kontracepcija preporučena prema individualnim
potrebama žene ima više prednosti nego mana.

Abstract

Contraception separates sexual activity from procreation, allowing couples better control and planning of their lives, and
consequently their families.

Various contraceptive methods enable an individualized approach and selection based on the medical needs and personal
preferences of users. This reduces the risk of side effects and discontinuation of the method while increasing user
satisfaction.

Available contraceptive methods can be categorized as biological (hormonal and intrauterine), mechanical (condom,
diaphragm, cervical cap), chemical (spermicides), and natural (calendar method, appearance and quantity of cervical
mucus, basal body temperature). The most commonly used methods include: combined hormonal contraceptive pills,
progestin-only or mini-pills, intrauterine contraception (levonorgestrel or Cu/Ag), transdermal patch, implants, injections,
spermicides, periodic abstinence methods, withdrawal, cervical cap, sponges, diaphragm, condoms (male and female),
emergency contraception methods (levonorgestrel, ulipristal acetate, and copper IUD), and sterilization methods (male and
female).

Modern recommendations emphasize the importance of an individualized approach when selecting a contraceptive
method. However, for the youth population, there is a growing global trend towards recommending long-acting reversible
contraceptive (LARC) methods, such as intrauterine devices and implants, along with dual protection through condom use,
to prevent sexually transmitted infections.

Effective contraception counseling remains a significant challenge today. It often requires cooperation between healthcare
professionals and patients, with a joint assessment of desires and needs on one hand, and the benefits and risks on the
other. Considering an individualized approach in decision-making regarding contraceptive method selection is crucial and
can contribute to greater satisfaction, acceptance, and adherence to the chosen method.

Keywords: contraceptive methods, effects of contraception, LARC, CHC

70 DOI: 10.5937/Galmed2412051M