Previous studies have pointed out an interesting fact: the use of hormonal contraceptives modifies the partner preferences of women towards men more feminine and genetically less compatible. This master thesis first tried to experimentally verify whether these different preferences are reflected in real mate choice outside the context of the laboratory. It includes two studies comparing partner satisfaction and relationship dynamics in couples that have been formed under the influence of pills versus under the influence of the natural menstrual cycle. Study 1 includes 3116 mothers and was conducted through an online questionnaire. The second study collected representative data from 1605 Czech men and women aged 35 to 65 years representing the population of the CZ also through a hand-to- hand questionnaire. Study 1 confirmed the assumption in several ways: hormonal contraception users (during the mate choice) assessed their partners as less attractive and masculine compared with women who naturally cycled at that time. We also found their sexual satisfaction was reduced, however, they were more satisfied with non-sexual aspects of the relationship. In contrast to established hypotheses Study 1 found that the partnerships formed under the influence of hormonal contraceptives separated significantly...

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HORMONAL CONTRACEPTION - USERS̕ KNOWLEDGE Student: Křiklánová, J. Tutor: Marešová, H. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University, Czech Republic Introduction: Hormonal contraception is a broadly used and very reliable birth control method. Nonetheless, it is not entirely risk-free. This thesis deals with the awareness of those risks in women who are currently using hormonal contraception or have ever used it before. Aim of the thesis: The main aim was to determine the extent of the users' awareness of hormonal contraception and its risks, undesirable side effects and contraindications, as well as their source of information. Furthermore, the awareness of the environmental impact, the reasons for using hormonal contraception and user satisfaction were examined. Methodology: The research was carried out by means of online questionnaires, which were spread among current or former users of hormonal contraception regardless of age, educational background or place of residence. 148 completed questionnaires were gathered and the data which were obtained were statistically evaluated. Results: It was discovered that women feel informed (25 %) or rather informed (44,6 %) more often than uninformed; the most frequent source of information is patient...

Introdução: A prescrição da pílula anticoncepcional passa a ser realizada no Brasil a partir de 1962. Sua prática trouxe transformações políticas e sociais ao país: a pílula passa a ter grande aceitabilidade das mulheres e permanece como o método anticoncepcional mais utilizado por elas até a atualidade. Seu uso influenciou na queda da taxa de fecundidade e compõe, atrelada a uma série de outros fatores, um conjunto de transformações que modifica a formulação de políticas públicas referentes à saúde reprodutiva e à saúde sexual feminina. Objetivo: Compreender como a prescrição da pílula anticoncepcional por médicos ginecologistas era realizada no Brasil na época em que começa a ser utilizada no país. Metodologia: Trata-se de uma pesquisa qualitativa, tendo como material empírico as narrativas de seis médicos ginecologistas que atuaram na década de 1960, no estado de São Paulo. Resultados e Discussão: A partir das entrevistas, foram identificados quatro eixos temáticos de análise, que contemplaram a descrição Introdução: A prescrição da pílula anticoncepcional passa a ser realizada no Brasil a partir de 1962. Sua prática trouxe transformações políticas e sociais ao país: a pílula passa a ter grande aceitabilidade das mulheres e permanece como o método anticoncepcional mais utilizado por elas até a atualidade. Seu uso influenciou na queda da taxa de fecundidade e compõe, atrelada a uma série de outros fatores, um conjunto de transformações que modifica a formulação de políticas públicas referentes à saúde reprodutiva e à saúde sexual feminina. Objetivo: Compreender como a prescrição da pílula anticoncepcional por médicos ginecologistas era realizada no Brasil na época em que começa a ser utilizada no país. Metodologia: Trata-se de uma pesquisa qualitativa, tendo como material empírico as narrativas de seis médicos ginecologistas que atuaram na década de 1960, no estado de São Paulo. Resultados e Discussão: A partir das entrevistas, foram identificados quatro eixos temáticos de análise, que contemplaram a descrição sobre o primeiro contato dos médicos com a pílula, seguido das diferentes formas de utilização da pílula anticoncepcional como uma nova tecnologia. Também foi identificada a relação entre a prescrição médica e a indústria farmacêutica, assim como o uso da pílula anticoncepcional e a construção do discurso médico sobre o corpo feminino. Esses achados foram analisados à luz dos estudos sobre medicalização do corpo feminino, e como a sua prescrição foi sendo incluída na clínica médica a partir da década de 1960. Considerações Finais: O uso da pílula anticoncepcional apresentou-se como uma nova tecnologia de controle da reprodução e dos corpos femininos. Compreender a história da prescrição da pílula é levar em consideração os múltiplos agentes, interesses e práticas que ainda se inscrevem sobre os corpos das mulheres / Introduction: The prescription of the contraceptive pill began in Brazil in 1962. This practice brought political and social changes to the country: the pill becomes highly accepting of women and remains the contraceptive method most used by them until nowadays. The pill use has influenced the fall in fertility rate and, based on a series of other factors, is a set of transformations that modifies the formulation of public policies regarding reproductive health and female sexual health. Goal: To understand how the prescription of the contraceptive pill happened in Brazil, carried by gynecologists at the time when it begins to be used in the country. Methodology: This is a qualitative research, having as empirical material the narratives of six gynecologists who worked in the 1960s, at São Paulo state. Results and Discussion: From the interviews, four thematic axes of analysis were identified, which included the description of the first contact of the doctors with the pill, followed by different ways of using the contraceptive pill as a new technology. Also, were identified the relationship between medical prescription and the pharmaceutical industry, as well as the use of the contraceptive pill and the construction of the medical discourse about the female body. These findings were analyzed in light of the studies on medicalization of the female body, and how the contraceptive pill prescription was included in the medical clinic from the 1960s. Final Considerations: The use of the contraceptive pill was presented as a new technology for the control of Reproduction and of female bodies. Understanding the history of pill prescription is to take into account the multiple agents, interests, and practices that are still inscribed on women\'s bodies

Introdução: A prescrição da pílula anticoncepcional passa a ser realizada no Brasil a partir de 1962. Sua prática trouxe transformações políticas e sociais ao país: a pílula passa a ter grande aceitabilidade das mulheres e permanece como o método anticoncepcional mais utilizado por elas até a atualidade. Seu uso influenciou na queda da taxa de fecundidade e compõe, atrelada a uma série de outros fatores, um conjunto de transformações que modifica a formulação de políticas públicas referentes à saúde reprodutiva e à saúde sexual feminina. Objetivo: Compreender como a prescrição da pílula anticoncepcional por médicos ginecologistas era realizada no Brasil na época em que começa a ser utilizada no país. Metodologia: Trata-se de uma pesquisa qualitativa, tendo como material empírico as narrativas de seis médicos ginecologistas que atuaram na década de 1960, no estado de São Paulo. Resultados e Discussão: A partir das entrevistas, foram identificados quatro eixos temáticos de análise, que contemplaram a descrição Introdução: A prescrição da pílula anticoncepcional passa a ser realizada no Brasil a partir de 1962. Sua prática trouxe transformações políticas e sociais ao país: a pílula passa a ter grande aceitabilidade das mulheres e permanece como o método anticoncepcional mais utilizado por elas até a atualidade. Seu uso influenciou na queda da taxa de fecundidade e compõe, atrelada a uma série de outros fatores, um conjunto de transformações que modifica a formulação de políticas públicas referentes à saúde reprodutiva e à saúde sexual feminina. Objetivo: Compreender como a prescrição da pílula anticoncepcional por médicos ginecologistas era realizada no Brasil na época em que começa a ser utilizada no país. Metodologia: Trata-se de uma pesquisa qualitativa, tendo como material empírico as narrativas de seis médicos ginecologistas que atuaram na década de 1960, no estado de São Paulo. Resultados e Discussão: A partir das entrevistas, foram identificados quatro eixos temáticos de análise, que contemplaram a descrição sobre o primeiro contato dos médicos com a pílula, seguido das diferentes formas de utilização da pílula anticoncepcional como uma nova tecnologia. Também foi identificada a relação entre a prescrição médica e a indústria farmacêutica, assim como o uso da pílula anticoncepcional e a construção do discurso médico sobre o corpo feminino. Esses achados foram analisados à luz dos estudos sobre medicalização do corpo feminino, e como a sua prescrição foi sendo incluída na clínica médica a partir da década de 1960. Considerações Finais: O uso da pílula anticoncepcional apresentou-se como uma nova tecnologia de controle da reprodução e dos corpos femininos. Compreender a história da prescrição da pílula é levar em consideração os múltiplos agentes, interesses e práticas que ainda se inscrevem sobre os corpos das mulheres / Introduction: The prescription of the contraceptive pill began in Brazil in 1962. This practice brought political and social changes to the country: the pill becomes highly accepting of women and remains the contraceptive method most used by them until nowadays. The pill use has influenced the fall in fertility rate and, based on a series of other factors, is a set of transformations that modifies the formulation of public policies regarding reproductive health and female sexual health. Goal: To understand how the prescription of the contraceptive pill happened in Brazil, carried by gynecologists at the time when it begins to be used in the country. Methodology: This is a qualitative research, having as empirical material the narratives of six gynecologists who worked in the 1960s, at São Paulo state. Results and Discussion: From the interviews, four thematic axes of analysis were identified, which included the description of the first contact of the doctors with the pill, followed by different ways of using the contraceptive pill as a new technology. Also, were identified the relationship between medical prescription and the pharmaceutical industry, as well as the use of the contraceptive pill and the construction of the medical discourse about the female body. These findings were analyzed in light of the studies on medicalization of the female body, and how the contraceptive pill prescription was included in the medical clinic from the 1960s. Final Considerations: The use of the contraceptive pill was presented as a new technology for the control of Reproduction and of female bodies. Understanding the history of pill prescription is to take into account the multiple agents, interests, and practices that are still inscribed on women\'s bodies

The dissertation is focused on the issue of contraception and reproductive health of young people. I therefore chose this topic of my dissertation because it interests me and it is also very current topic. I have specified the research in various types of secondary schools in Cesky Krumlov. The main aim of my dissertation was to map the knowledge of hormonal contraception and proven possible differences in sexual self behaviour in adolescent girls attending different high schools in Cesky Krumlov. The research was conducted using anonymous questionnaires that were distributed to girls aged 17 to 19 years. For my dissertation, I set four hypotheses that have been statistically confirmed. The results were interesting and there had been statistically significant differences in the level of knowledge about the risks of hormonal contraception among female students of Secondary Schools and other female students of Health Secondary Schools. In addition, the Vocational School students begin sexual life before other students of Secondary schools. Also the most common method of protection at first sexual intercourse is condom, but the most preferred contraceptives in adolescent girls, regardless of the type school studied, is hormonal contraception. According to the responses of girls we can see the differences in their own sexual behaviour, which is, in most cases conscientiously. Girls, however, are not sufficiently informed about hormonal contraception they use. I would advise to bring more lectures into schools about the positives and risks of hormonal contraception in general and also about all contraceptive options.

Diplomová práce se zabývá problematikou užívání ženské hormonální antikoncepce z perspektivy mužů jakožto jejich partnerů. V teoretické části podává ucelený obraz o expertním i veřejném diskurzu a základních argumentech souvisejících s problematikou v odborné literatuře. Analytická část je konstruovaná prostřednictvím polostrukturovaných rozhovorů s vybranými respondenty, kteří svými odpověďmi vykreslují podobu této problematiky z mužské perspektivy. Jejich výpovědi jsou průběžně analyzované genderovou optikou. Diplomová práce volně navazuje na předchozí práce, zabývající se sociálními aspekty užívání hormonální antikoncepce z pohledu žen. ABSTRACT This diploma thesis deals with the problematics concerning the female usage of hormonal contraception from the perspective of their male partners. In the theoretical part, the thesis describes the basic assertions, expert as well as public discourse linked with the problematics represented in professional literature. The analytical part is built on semi-constructed interviews with selected respondents. The interviews are drafted to illustrate the male conception of the problematics. Their answers from the interviews are analysed one by one through the views on gender. The thesis loosely follows previous theses describing social aspects of the usage of...

Analysis of spontaneous adverse drug reactions reporting hormonal contraception and hormone replacement therapy Author: Vendula Ryndová Supervisor: PharmDr. Kateřina Malá, Ph.D. Consultant: PharmDr. Eva Zimčíková, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction: Hormonal contraception (HC) is the most widely used method to prevent pregnancy worldwide. In addition to pregnancy planning and other non-contraceptional benefits, it also has certain risks. Hormone replacement therapy (HRT) is used primarily for treatment of estrogen deficiency in postmenopausal women. HRT is associated with a number of risks, in particularly for women 60+ of age. Analysis of spontaneous adverse drug reactions (ADRs) reporting contribute to detection of potential risks associated with pharmacotherapy, thereby increases the safety of the drugs. Aim: The aim of this thesis was to analyse spontaneous ADRs reports of HC and HRT registered in the Czech Central Database of ADRs of the State Institute for Drug Control (SÚKL). Methods: Retrospective analysis of the spontaneous ADRs reports of HC and HRT registered in the database of SÚKL from 10/2004 to 6/2017. Mainly, method of receiving the report, reporting person, patient information, seriousness, and...

This dissertation is based on seventeen months of ethnographic fieldwork that followed the development and diffusion of extended-cycle hormonal contraception, or birth control that is designed to eliminate monthly bleeding. It encompassed several sites and multiple constituencies: a clinical trial, documented medical conferences, users, potential users, and refusers of the pharmaceuticals, along with key academic and popular proponents of their adoption. Extended-cycle contraception is a critical topic because this new generation of pills, IUDs, shots, and implants is not only refiguring the length of women's cycles, but it is also augmenting the extent to which its users' bodies are medicalized, or subjected to a type of manipulation and regulation that was previously impossible. No longer just for pregnancy prevention, these regimens are increasingly touted as elective enhancement technologies that may improve on the human design, on the one hand, and as crucial preventative medicine for diseases such as reproductive cancers, on the other hand. Remarkably, these pharmaceuticals are as socially complex as they are chemically--they may facilitate the renegotiation of constructions of womanhood, nature, and progress.

La contraception hormonale combinée (CHC) est la contraception la plus utilisée en France. La maladie veineuse thromboembolique (MVTE), constitue le principal effet délétère de ces CHC. Des recommandations de bonnes pratiques sont publiées pour guider les prescripteurs. La meilleure compréhension des modifications biologiques associées aux différents types de CHC, les caractéristiques cliniques des femmes ayant eu une MVTE, la place de la recherche d’antécédents familiaux de MVTE (AFVTE) et d’une thrombophilie biologique avant la prescription d’une CHC constituent des pistes de recherche qui permettrait potentiellement d’optimiser la balance bénéfice-risque des CHC. Enfin l’impact de l’utilisation d’une contraception hormonale après un 1er épisode de MVTE reste peu évalué. Ce travail de thèse a été réalisé à la fois à l’aide de données biologiques d’utilisatrices de contraceptions hormonales (Etude EDGAR) et aussi à partir des données de l’étude de cohorte française COREVE (COntraception and REcurrent Venous Event). Cette étude a inclus 3121 femmes de moins de 45 ans au moment de leur 1er épisode de MVTE. Nous nous sommes particulièrement intéressés à l’analyse des caractéristiques de ces femmes en fonction du type de contraception utilisée, à la prévalence des facteurs de risque vasculaires et notamment les AFVTE. La fréquence d’épisode de MVTE associé à une prescription inadaptée de CHC, variait ainsi de 8.8 à 25.9 %. Par ailleurs, à l’aide d’une méthodologie de type cas versus cas, l’interaction entre l’utilisation d’une CHC et la présence d’une mutation du facteur V Leiden sur le risque de MVTE diffère significativement en fonction du progestatif combiné des CHC. / Combined hormonal contraception (CHC) is the most widely used contraception in France in which venous thrombosis embolism (VTE) is the main deleterious effect. Best practice recommendations are published in order to guide prescribers.The better understanding of the biological changes associated with different types of CHC, the clinical characteristics of women with VTE, the place of family history of VTE (FHVTE) and for biological thrombophilia before prescribing a CHC constitute research paths that could potentially optimize the risk-benefit balance of CHCs. Finally, the impact of hormonal contraception use after a first episode of VTE remains rarely evaluated.This work was carried out both using biological data from hormonal contraception users (EDGAR study) and also using data from the French cohort study COREVE (COntraception and REcurrent Venous Event).This study included 3121 women under 45 at the time of their 1st episode of VTE. We were particularly interested in analyzing the characteristics of these women according to the type of contraception used, the prevalence of vascular risk factors and especially the FHVTE.The frequency of VTE episode associated with an inadequate CHC prescription varied from 8.8 to 25.9%. Moreover, using a case-only methodology, the interaction between the use of CHC and the presence of a mutation of the factor V Leiden on the risk of VTE differs significantly depending on the progestin combined of the CHCs.