Teresa Benedito, Secretary General of the SEMG.
Teresa Benedito Pérez de Inestrosa, general secretary of the Spanish Society of General and Family Physicians (SEMG), is sure that “the contraceptive advice must be part of the day-to-day consultation”: “It is very important to attract women and go ahead to give you that information. ”
Teresa Benedito believes that “it is necessary to publicize the different contraceptive methods.”
That is the message that he has launched in his presentation ‘Contraception: present and future’, in the training activity on women’s health that has taken place in Palma de Mallorca, within the XXVII National Congress of the SEMG.
The specialist explains to this medium that professionals must “avoid unnecessary examinations to start contraception”, such as cytologies. “We know that a correct medical history, taking blood pressure and calculating the muscle mass index is enough to start contraception. Afterwards, follow-up visits are necessary at three and six months to know the tolerance of the method and see if there has been some kind of side effect, “he says.
Choosing the contraceptive is important
The choice of contraception to avoid unwanted pregnancies and sexually transmitted infections (STIs) must be made on an individual basis. “We must make a contraceptive advice, which means that we must give them the information so that, according to the characteristics, profile and diseases that they may suffer, we can offer them that contraceptive method that is safe. For that we are based on different eligibility criteria, such as they could be those exposed by the WHO “, explains Benedito.
In her presentation, the specialist has indicated that the factors that must be taken into account when choosing a contraceptive method, and that depend on the method itself, are its effectiveness; safety (which is conditioned by the ability of the method not to produce unwanted effects on the health of the person who uses it); reversibility; the ease, complexity of use and route of administration; and the price.
A moment of the presentation.
“Each woman is going to benefit from a different type of contraception. In the case of migrant women, who due to the linguistic barrier may not understand well how to administer it, we can recommend other long-term contraceptive methods such as a subcutaneous implant or a IUD “, he assures.
Benedito has also discussed the combined oral contraception of an estrogen and a progestogen. The best known estrogen is the synthetic ethinyl estradiol, although there are other natural ones. Of progestogens “there is an important variety” because “we meet different types of women.” Some will help women with acne or hairy hair because they are androgenic. Others, due to their antimineralocorticoid effect, are indicated for people more concerned about their weight.
The specialist has also addressed subcutaneous contraception, the advantages of condoms or the most recommended methods for adolescents, who are often concerned about fluid retention. “Doctors must offer the options and then the woman decides,” he concludes.
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