For women, occurrence of
acute attack is often associated with their menstrual cycle. Hormonal therapy
can applied to manage this, that women took the contraceptive pills that
control the hormone fluctuation and prevent suffer from AIP attack (Grob, Honcamp, Daume, Frank,
Dusterberg, & Doss, 1995). Commonly this type of exogenous therapy will be used if the
biopsychosocial model are not sufficient. However, there is the possibility
that contraceptive pills will provoke 5% to 14% of acute attack of both latent
and manifest AIP. Thus the clinician or physician should evaluated the benefits
as well as risks prior this (Andersson, Innala, & Backstrom,
2003; Pischik & Kauppinen, 2015). In addition, parents who are the AIP carriers but would like to have
children would go for genetic testing and genetic counselling (Balwani & Desnick). Through these, they are able to know the chances of having a child
with AIP, this helps to lower the risks of passing the detective gene to the
next generation. All in all, there is not possible to prevent suffer from AIP,
but avoid of the precipitating factors and some of the genetic checking may contribute
to a later presentation or even no presentation of an acute attack.
Figure 24. Contraceptive pills
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