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https://doi.org/10.55640/
DELAYED PREGNANCY FOLLOWING CONTRACEPTIVE USE IN WOMEN OF REPRODUCTIVE AGE
Abduqayumova Mohinabonu Dilshodovna,Akbarova Nozima Xusniddinovna,Sitora Amirzoda Tilyavova , Samarkand State Medical University, Department of Obstetrics and Gynecology №1 Clinical Resident Scientific advisor,Samarkand State Medical University, Department of Obstetrics and Gynecology №1 PhD, AssistantAbstract
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Individualized Contraceptive Selection: When choosing a contraceptive method, factors such as the woman’s age, reproductive plan, and gynecological and extragenital history (including anemia, endocrine disorders, chronic pyelonephritis, etc.) should be carefully considered.
Preconception Preparation: Women planning pregnancy after discontinuing contraception are advised to undergo at least three months of preconception preparation, including supplementation with folic acid, iron, and vitamin D, as well as infectious screening and comprehensive laboratory testing.
Assessment of Ovulatory Function: In women who used combined oral contraceptives (COCs) or progestin-only methods, ovulatory cycle restoration should be evaluated prior to conception. In cases of suspected hormonal imbalance, consultation with an endocrinologist is recommended.
Screening for Chronic Pelvic Inflammation: For women with a history of intrauterine device (IUD) use, bacteriological and PCR testing is advisable before conception and during early pregnancy to exclude chronic endometritis and inflammatory diseases of the pelvic organs.
Early Antenatal Monitoring: Women who conceive after contraceptive use should be enrolled in antenatal care early (by 6–8 weeks of gestation) to enable prompt detection and prevention of early gestational complications, including miscarriage risk, anemia, pyelonephritis, and fetoplacental insufficiency.
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