Language:

Venous thromboembolism in women: a specific reproductive health risk

Human reproduction update, 2013-09, Vol.19 (5), p.471-482 [Peer Reviewed Journal]

ISSN: 1355-4786 ;EISSN: 1460-2369 ;DOI: 10.1093/humupd/dmt028 ;PMID: 23825156

Full text available

Citations Cited by

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Venous thromboembolism in women: a specific reproductive health risk
Author: Eichinger, S. ; Evers, J.L.H. ; Glasier, A. ; La Vecchia, C. ; Martinelli, I. ; Skouby, S. ; Somigliana, E. ; Baird, D.T. ; Benagiano, G. ; Crosignani, P.G. ; Gianaroli, L. ; Negri, E. ; Volpe, A.
Subjects: Adult ; Age Factors ; Aged ; Aged, 80 and over ; Contraception - adverse effects ; Contraceptives, Oral, Hormonal - adverse effects ; Contraceptives, Oral, Hormonal - therapeutic use ; Female ; Hormone Replacement Therapy - adverse effects ; Humans ; Incidence ; Infertility, Female - drug therapy ; Male ; Middle Aged ; Ovulation Induction - adverse effects ; Pregnancy ; Pregnancy Complications, Cardiovascular - chemically induced ; Pregnancy Complications, Cardiovascular - epidemiology ; Pregnancy Complications, Cardiovascular - prevention & control ; Pulmonary Embolism - etiology ; Reproductive Health ; Risk Factors ; Sex Factors ; Thrombophilia - chemically induced ; Thrombophilia - epidemiology ; Venous Thromboembolism - chemically induced ; Venous Thromboembolism - epidemiology ; Venous Thromboembolism - prevention & control ; Young Adult
Is Part Of: Human reproduction update, 2013-09, Vol.19 (5), p.471-482
Description: BACKGROUND Venous thromboembolism (VTE) is a specific reproductive health risk for women. METHODS Searches were performed in Medline and other databases. The selection criteria were high-quality studies and studies relevant to clinical reproductive medicine. Summaries were presented and discussed by the European Society of Human Reproduction and Embryology Workshop Group. RESULTS VTE is a multifactorial disease with a baseline annual incidence around 50 per 100 000 at 25 years and 120 per 100 000 at age 50. Its major complication is pulmonary embolism, causing death in 1-2% of patients. Higher VTE risk is associated with an inherited thrombophilia in men and women. Changes in the coagulation system and in the risk of clinical VTE in women also occur during pregnancy, with the use of reproductive hormones and as a consequence of ovarian stimulation when hyperstimulation syndrome and conception occur together. In pregnancy, the risk of VTE is increased ~5-fold, while the use of combined hormonal contraception (CHC) doubles the risk and this relative risk is higher with the more recent pills containing desogestrel, gestodene and drospirenone when compared with those with levonorgestrel. Similarly, hormone replacement therapy (HRT) increases the VTE risk 2- to 4-fold. There is a synergistic effect between thrombophilia and the various reproductive risks. Prevention of VTE during pregnancy should be offered to women with specific risk factors. In women who are at high risk, CHC and HRT should be avoided. CONCLUSIONS Clinicians managing pregnancy or treating women for infertility or prescribing CHC and HRT should be aware of the increased risks of VTE and the need to take a careful medical history to identify additional co-existing risks, and should be able to diagnose VTE and know how to approach its prevention.
Publisher: England
Language: English
Identifier: ISSN: 1355-4786
EISSN: 1460-2369
DOI: 10.1093/humupd/dmt028
PMID: 23825156
Source: Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
Alma/SFX Local Collection

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Venous thromboembolism in women: a specific reproductive health risk

ISSN: 1355-4786 ;EISSN: 1460-2369 ;DOI: 10.1093/humupd/dmt028 ;PMID: 23825156

Searching Remote Databases, Please Wait