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Stoffwechseluntersuchungen unter Einnahme oraler Kontrazeptiva

Eine Übersicht

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Zusammenfassung

Verabreichung oraler Kontrazeptiva kann zu Störungen im Kohlenhydrat-Fett-Protein-Vitamin- und Mineralstoffhaushalt führen. Dabei ist nicht so sehr der Typ der Kontrazeptiva sondern die verwendeten Östrogen- und Gestagenabkömmlinge für die Veränderungen ausschlaggebend. Zu den am häufigsten diagnostizierten Befunden gehören erhöhte Serumglucose-, Insulin- und Triglyceridwerte; beobachtete Störungen im Proteinstoffwechsel weisen auf eine gesteigerte Bereitschaft zur Ausbildung von Hypertonien und Thombrosen hin.

Über die Bedeutung oraler Kontrazeptiva auf den Vitamin- und Mineralstoffhaushalt ist wenig bekannt — ausgeprägte Mangelzustände wurden jedoch noch nicht beoachtet. Bei schon vorhandenen Stoffwechselstörungen werden orale Kontrazeptiva zu einem extra Risikofaktor.

Summary

The use of oral contraceptives can produce changes in the metabolism of carbohydrates, lipids, proteins, vitamins, and minerals.

Responsible for the alterations seems to be the used oestrogen- and gestagen derivative and not so much the type of the contraceptive.

The most frequent findings are raised serum-glucose-, insulin-, and triglyceride levels; disturbances in protein-metabolism increase the risk of developping thrombosis and hypertonia.

Little is known about the significance of oral contraceptives on the vitamin- and mineral metabolism—yet extreme deficiencies have not been observed so far.

Oral contraceptives can become an extra riskfactor when given to women with metabolic disturbances.

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  1. S. Hauschildt

    Present address: Institut für Physiologische Chemie, Lehrstuhl II der Universität Erlangen-Nürnberg, Deutschland

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    Hauschildt, S. Stoffwechseluntersuchungen unter Einnahme oraler Kontrazeptiva. Z Ernährungswiss 17, 1–18 (1978). https://doi.org/10.1007/BF02020687

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