Öz
Depo şeklinde, uzun etkili bir preparat olan depo medroksiprogesteron asetat 90'a yakın ülkede oral kontraseptiflere alternatif bir yöntem olarak kullanılmaktadır. Kullanımı kolay, aynı zamanda etkisi çok yüksek olan bu ilaç Türkiye içinde önemlidir, Bu çalışmada kısa süreli, düşük doz ilaç uygulanan hayvanlarda endometriyum bezlerinde sayıca azalma yanında geç proliferasyonu gösteren kıvrılma ve az sayıda, düzensiz subnüklear vakuolizasyon bulunmuştur. Bu bulgular unovulatuvar sikluslara uymaktadır. Uzun süreli, yüksek doz ilaç verildiğinde ise bezler azalmış ve inaktifâir, Her iki kullanımda da ovulasyon gözlenmemiştir. İlaç hem ovulasyonu engelleyerek hem de endometriyumun yapısını bozarak etki göstermektedir,
Anahtar Kelimeler
Depo-medroksiprogesteron asetat (Dope Provera) endometriyum kontrasepsiyon.
Etik Beyan
-
Destekleyen Kurum
-
Proje Numarası
-
Teşekkür
-
Kaynakça
- 1. Bhowmik T Mukherjea M : Histological changes in the ovary and uterus of rat after injectable contraseplive therapy. Contraception. 37 : 529-538, 1988.
- 2. Bloom W Fawcett DW : Female Reproductive system. In : A Textboox of Histology, 1ith edition, W.B. Saunders Comp., Philedelphia, London, Toronto, Mexico City, Rio de Jenerio, Sydney, Tokyo, Honkkong, 879-883, 1985.
- 3. Depo-Provera Update : Not FDA-approved but experts recommend Depo-Provera. Cont. Tech, Update. 13 (1) : 1-20, 1992,
- 4. Ferenezy A Riçchart RM : Endometrium associated with hormonal therapy. in: Female Reproductive System, Dynamics of Scan and Transmission : Electron Microscopy. Wiley Biomedical-Health Publication, New York, London, Sydney, Toronto, 166-167, 1974.
- 5. Fraser 1S : Mensirual changes associated with progesteron-only coniraception. Acta. Obstet. Gynecol, Scand. Suppl. 134 ; 21-27, 1988.
- 6. Ginsburg K Moghissi K : Altemate delivery systems for contraceptive progestogens. Fertil. Steril. 49 (Suppl.) 5 : 16-30, 1988.
- 7. Gürgüç A : Endometriyumun histolojik özellikleri, Jinekolojik Endokrinoloji. Kartal Mat. Ankara, 183-198, 1983.
- 8. İsmail AA El-Faras A et al : Pituitary response to LHRH in long-term users of injectable contraceptives. Cont., 35 (5) ; 487-495, 1987.
- 9. Jeppsson 5 Johansson EDB : Medroxyprogesterone acetat estradiol, FSH and in peripheral blood after intramuscular administration of Depo-Provera to women. Cont,, 14 (4) : 461-469, 1976.
- 10. LesRA :; Contraceptive and endometrial effects of medroxyprogesterone acetate, Am, J. Obst. and Gynec. 104 : 130-133, 1969.
- 11. Maguso M Becerra C Mungula H Goldzieher JW ; Endometrial histology and vaginal cytology during oral contraception with seguential estrogen and progestin. Am, J. Obst. and Gynec, 90 (3) ; 395-400, 1964,
- 12. Mishell DR : Effect of 6-melhyl-17-hidroxyprogesterone on urinary excretion ol luteinizing hormone. Am. J, Obst. and Gynec., 99 (1) ; 86-90, 1967,
- 13. Noyes RW Hertig AT Rock J: Dating the endometrial biopsy. Fertil, Steril.,1 (1) ; 3-25, 1950.
- 14. Wilson E : Enjectable contraception, The Practitioner, 232 : 32-36, 1988.
- 15. Zanartu J Navarro C ; Fertility inhibition by an injectable progestogen acting for 3 months. Obst, and Gynec. 31 (5) ; 627-833, 1968,
Öz
Depot medroxyprogesterone acetate (DMPA) is a highiy effective long-acting contraceptive approved in over 90 countries. It is safe, easy to use and inexpensive.
Im this study, with short-term treatment glands reflected the late proliferatif phase which characterized by tortuous glands and irregular subnuclear vacuolation, Glands became inactive and reduced in number during the long-term treatment. In both cases ovulation could hot be observed. DMPA acts by inhibitig ovulation and thinning of the endometrium.
Anahtar Kelimeler
Depot-medroxyprogesterone acetat (Depo Provera) endometrium contraception.
Etik Beyan
-
Destekleyen Kurum
-
Proje Numarası
-
Teşekkür
-
Kaynakça
- 1. Bhowmik T Mukherjea M : Histological changes in the ovary and uterus of rat after injectable contraseplive therapy. Contraception. 37 : 529-538, 1988.
- 2. Bloom W Fawcett DW : Female Reproductive system. In : A Textboox of Histology, 1ith edition, W.B. Saunders Comp., Philedelphia, London, Toronto, Mexico City, Rio de Jenerio, Sydney, Tokyo, Honkkong, 879-883, 1985.
- 3. Depo-Provera Update : Not FDA-approved but experts recommend Depo-Provera. Cont. Tech, Update. 13 (1) : 1-20, 1992,
- 4. Ferenezy A Riçchart RM : Endometrium associated with hormonal therapy. in: Female Reproductive System, Dynamics of Scan and Transmission : Electron Microscopy. Wiley Biomedical-Health Publication, New York, London, Sydney, Toronto, 166-167, 1974.
- 5. Fraser 1S : Mensirual changes associated with progesteron-only coniraception. Acta. Obstet. Gynecol, Scand. Suppl. 134 ; 21-27, 1988.
- 6. Ginsburg K Moghissi K : Altemate delivery systems for contraceptive progestogens. Fertil. Steril. 49 (Suppl.) 5 : 16-30, 1988.
- 7. Gürgüç A : Endometriyumun histolojik özellikleri, Jinekolojik Endokrinoloji. Kartal Mat. Ankara, 183-198, 1983.
- 8. İsmail AA El-Faras A et al : Pituitary response to LHRH in long-term users of injectable contraceptives. Cont., 35 (5) ; 487-495, 1987.
- 9. Jeppsson 5 Johansson EDB : Medroxyprogesterone acetat estradiol, FSH and in peripheral blood after intramuscular administration of Depo-Provera to women. Cont,, 14 (4) : 461-469, 1976.
- 10. LesRA :; Contraceptive and endometrial effects of medroxyprogesterone acetate, Am, J. Obst. and Gynec. 104 : 130-133, 1969.
- 11. Maguso M Becerra C Mungula H Goldzieher JW ; Endometrial histology and vaginal cytology during oral contraception with seguential estrogen and progestin. Am, J. Obst. and Gynec, 90 (3) ; 395-400, 1964,
- 12. Mishell DR : Effect of 6-melhyl-17-hidroxyprogesterone on urinary excretion ol luteinizing hormone. Am. J, Obst. and Gynec., 99 (1) ; 86-90, 1967,
- 13. Noyes RW Hertig AT Rock J: Dating the endometrial biopsy. Fertil, Steril.,1 (1) ; 3-25, 1950.
- 14. Wilson E : Enjectable contraception, The Practitioner, 232 : 32-36, 1988.
- 15. Zanartu J Navarro C ; Fertility inhibition by an injectable progestogen acting for 3 months. Obst, and Gynec. 31 (5) ; 627-833, 1968,
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Histoloji ve Embriyoloji |
| Bölüm | Makaleler |
| Yazarlar | |
| Proje Numarası | - |
| Yayımlanma Tarihi | 31 Mart 1993 |
| Yayımlandığı Sayı | Yıl 1993 Cilt: 46 Sayı: 1 |
