Oral contraceptives and venous thromboembolism: an epidemiological review
作者:
LidegaardO.,
期刊:
The European Journal of Contraception&Reproductive Health Care
(Taylor Available online 1996)
卷期:
Volume 1,
issue 1
页码: 13-20
ISSN:1362-5187
年代: 1996
DOI:10.3109/13625187.11661690.1996
出版商: Taylor&Francis
关键词: oral contraceptives;Venous thromboembolism;Confounding;Epidemiology;Prescribing bias;Selection bias;Risk factors
数据来源: Taylor
摘要:
New epidemiological studies have demonstrated a higher risk of venous thromboembolism among users of oral contraceptives (O Cs) with third-generation progestogensdesogestrelorgestodenecompared with users of OCs with second-generation progestogenslevonorgestrelornorgestrel.As th e absolute risk of venous thromboembolism among users of O Cs in general is lower in the new studies than in previously published studies, and as several important potential
confounders are not controlled for in the new studies, the real difference in risk of venousthromboembolism between users of third- compared with second-generation products may
be smaller than indicated in these new studies. At the same time, the risk of myocardialinfarction may be smaller among users of third- compared with users of second-generation products.Until further epidemiological data emerge, it is therefore difficult to make general recommendations other than to use O Cs with a low estrogen dose, and to make individual
recommendations based on age, individual wish, and individual risk factors.
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