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Women's health, hormonal balance, and personal autonomy

Hormone-based contraception disrupts hormonal balance, creating artificial states of anovulation and threatening women's health. We reviewed its main adverse effects and mechanisms on accelerated ovarian aging, mental health (emotional disruptions, depression, and suicide), sexuality (reduced l...

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Autores principales: Segarra, Ignacio, Menárguez, Micaela, Roqué, María Victoria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10347535/
https://www.ncbi.nlm.nih.gov/pubmed/37457571
http://dx.doi.org/10.3389/fmed.2023.1167504
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author Segarra, Ignacio
Menárguez, Micaela
Roqué, María Victoria
author_facet Segarra, Ignacio
Menárguez, Micaela
Roqué, María Victoria
author_sort Segarra, Ignacio
collection PubMed
description Hormone-based contraception disrupts hormonal balance, creating artificial states of anovulation and threatening women's health. We reviewed its main adverse effects and mechanisms on accelerated ovarian aging, mental health (emotional disruptions, depression, and suicide), sexuality (reduced libido), cardiovascular (brain stroke, myocardial infarction, hypertension, and thrombosis), and oncological (breast, cervical, and endometrial cancers). Other “collateral damage” includes negative effects on communication, scientific mistrust, poor physician–patient relationships, increased patient burden, economic drain on the healthcare system, and environmental pollution. Hormone-sensitive tumors present a dilemma owing to their potential dual effects: preventing some cancers vs. higher risk for others remains controversial, with denial or dismissal as non-relevant adverse effects, information avoidance, and modification of scientific criteria. This lack of clinical assessment poses challenges to women's health and their right to autonomy. Overcoming these challenges requires an anthropological integration of sexuality, as the focus on genital bodily union alone fails to encompass the intimate relational expression of individuals, complete sexual satisfaction, and the intertwined feelings of trust, safety, tenderness, and endorsement of women's femininity.
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spelling pubmed-103475352023-07-15 Women's health, hormonal balance, and personal autonomy Segarra, Ignacio Menárguez, Micaela Roqué, María Victoria Front Med (Lausanne) Medicine Hormone-based contraception disrupts hormonal balance, creating artificial states of anovulation and threatening women's health. We reviewed its main adverse effects and mechanisms on accelerated ovarian aging, mental health (emotional disruptions, depression, and suicide), sexuality (reduced libido), cardiovascular (brain stroke, myocardial infarction, hypertension, and thrombosis), and oncological (breast, cervical, and endometrial cancers). Other “collateral damage” includes negative effects on communication, scientific mistrust, poor physician–patient relationships, increased patient burden, economic drain on the healthcare system, and environmental pollution. Hormone-sensitive tumors present a dilemma owing to their potential dual effects: preventing some cancers vs. higher risk for others remains controversial, with denial or dismissal as non-relevant adverse effects, information avoidance, and modification of scientific criteria. This lack of clinical assessment poses challenges to women's health and their right to autonomy. Overcoming these challenges requires an anthropological integration of sexuality, as the focus on genital bodily union alone fails to encompass the intimate relational expression of individuals, complete sexual satisfaction, and the intertwined feelings of trust, safety, tenderness, and endorsement of women's femininity. Frontiers Media S.A. 2023-06-30 /pmc/articles/PMC10347535/ /pubmed/37457571 http://dx.doi.org/10.3389/fmed.2023.1167504 Text en Copyright © 2023 Segarra, Menárguez and Roqué. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Segarra, Ignacio
Menárguez, Micaela
Roqué, María Victoria
Women's health, hormonal balance, and personal autonomy
title Women's health, hormonal balance, and personal autonomy
title_full Women's health, hormonal balance, and personal autonomy
title_fullStr Women's health, hormonal balance, and personal autonomy
title_full_unstemmed Women's health, hormonal balance, and personal autonomy
title_short Women's health, hormonal balance, and personal autonomy
title_sort women's health, hormonal balance, and personal autonomy
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10347535/
https://www.ncbi.nlm.nih.gov/pubmed/37457571
http://dx.doi.org/10.3389/fmed.2023.1167504
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