Učinak hormonske kontracepcije na mentalno zdravlje

master's thesis

• Title (english): The effect of hormonal contraception on mental health
• Author: Mila Smital
• Mentor: Maja Banović (mentor)
• Committee member: Mato Pavić (predsjednik povjerenstva)
• Committee member: Dinka Pavičić Baldani (član povjerenstva)
• Committee member: Maja Banović (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Gynecology and Obstetrics); Zagreb
• Defense date and country: 2023-09-19, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Gynecology and Obstetrics

Abstract

Hormonska kontracepcija je efikasna metoda za sprječavanje neželjene trudnoće. Osim tog učinka važna je i nekontracepcijska dobrobit te mogućnost individualizacije preparata prema potrebama korisnica te korištenje HK kao dio terapije sindroma policističnih jajnika, premenstrualnog disforičnog poremećaja i sličnih stanja.

Mentalno zdravlje je sve važnija tema u sveobuhvatnoj i sve više individualiziranoj modernoj zdravstvenoj skrbi te je važno proučiti učinke hormonske kontracepcije na mentalno zdravlje rastućeg udjela žena reprodukcijske dobi koje tu metodu koriste. Stoga su u ovom diplomskom radu opisana dosadašnja saznanja o učinku oralne hormonske kontracepcije, intrauterinog uloška, hormonskih depo-preparata i vaginalnog prstena na mentalno zdravlje. U dostupnoj literaturi autori nekoliko preglednih radova zaključuju da doze hormona koje se nalaze u dostupnim preparatima kod većine korisnica nemaju velik pozitivan ili negativan učinak na mentalno zdravlje. Međutim, neka novija istraživanja ukazuju na potencijalan negativan učinak na mentalno zdravlje pogotovo u skupini korisnica u ranoj reprodukcijskoj dobi, dok kod nekih stanja, poput premenstrualnog sindroma i premenstrualnog disforičnog poremećaja, mogu djelovati pozitivno u vidu olakšanja simptoma. Te skupine koje su podložnije promjenama u mentalnom zdravlju uslijed korištenja hormonske kontracepcije nisu zanemarive, iako su u relativnom udjelu male. Zbog toga se u brojnim studijama koje su predstavljene u ovom radu naglašava potreba za daljnjim istraživanjima, kako bi se bolje identificirale ranjive skupine i stanja te predvidjeli eventualni negativni učinci hormonske kontracepcije.

Abstract (english)

Hormonal contraception is an efficient method of preventing unwanted pregnancy. Besides this, hormonal contraception provides numerous noncontraceptive benefits as well as the possibility of individualised therapy which is crucial in treatment of polycystic ovary syndrome and other such conditions.

The subject of mental health is becoming more and more of an important topic in today's comprehensive and increasingly individualized health care. Therefore it is important to study the effects of hormonal contraception on mental health of a growing proportion of reproductive age women who use this method. This thesis aimed to sum up the current research on the effects of oral hormonal contraception, the intrauterine device, depot formulations and the vaginal ring on mental health. Among the available literature there are a few comprehensive review papers which provide a good representation of the current knowledge on this topic. Their authors' overall conclusions are that the doses of hormones found in modern formulations of hormonal contraceptives do not have a very big positive or negative impact on mental health in their users. However, there is a small proportion of users on whom hormonal contraception can have a stronger impact, which is sometimes negative, while it is positive in some conditions like premenstrual syndrome and premenstrual dysphoric disorder, where they can relieve symptoms. These groups that are more susceptible to changes in mental health due to the use of hormonal contraception are not to be dismissed even though they may represent a small proportion of users. Numerous studies presented in this paper emphasize the need for further research, so clinicians could better identify, predict and treat negative effects of hormonal contraception if and when they present.

• Keywords: hormonalna kontracepcija; mentalno zdravlje; utjecaj hormonalne kontracepcije
• Keywords (english): hormonal contraception; mental health; impact of hormonal contraception
• Language: croatian
• URN:NBN: urn:nbn:hr:105:014230
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2023-10-31 09:20:21