Side Effects Of Drugs Essay: Third-generation oral contraceptives: time to look again?

作者: Graham Dukes

DOI: 10.1016/B978-0-444-53741-6.00062-3

关键词: GynecologyObstetricsEstrogenThrombosisDrospirenoneMedicineRelative riskThird generationDeep veinDesogestrelAdverse effect

摘要: Publisher Summary This chapter presents discusses the adverse effects of third-generation oral contraceptives and their successor. In mid- 1990s, a team at Leiden University in The Netherlands advanced evidence that well-defined subpopulation individuals particular risk third generation exist; it comprised carriers thrombogenic factor V mutation. When 126 women fertile age who had episodes deep vein thrombosis were compared with 259 control subjects, highest age-adjusted relative for was found to be associated product based on desogestrel; lower risks all other types contraceptive. work delineated nature thromboembolic as whole, defined more clearly susceptible groups, also underlined problem attached products generation. Of progestogens have emerged still recently from laboratory (the so-called fourth generation), drospirenone has been most prominent, having developed contraceptive purposes series combinations an estrogen.

参考文章(17)
Jean-Jacques Amy, Vrijesh Tripathi, None, Contraception for women: an evidence based overview BMJ. ,vol. 339, pp. 354- 360 ,(2009) , 10.1136/BMJ.B2895
J. Rosing, G. Tans, G. A. F. Nicolaes, M. C. L. G. D. Thomassen, R. Van Oerle, P. M. E. N. Van DerPloeg, P. Heijnen, K. Hamulyak, H. C. Hemker, Oral contraceptives and venous thrombosis: different sensitivities to activated protein C in women using second- and third-generation oral contraceptives British Journal of Haematology. ,vol. 97, pp. 233- 238 ,(1997) , 10.1046/J.1365-2141.1997.192707.X
O. Lidegaard, E. Lokkegaard, A. L. Svendsen, C. Agger, Hormonal contraception and risk of venous thromboembolism: national follow-up study BMJ. ,vol. 339, pp. 557- 560 ,(2009) , 10.1136/BMJ.B2890
Francisca Martínez, Angels Avecilla, Combined hormonal contraception and venous thromboembolism The European Journal of Contraception & Reproductive Health Care. ,vol. 12, pp. 97- 106 ,(2007) , 10.1080/13625180701300194
Lothar AJ Heinemann, Michael A Lewis, Margaret Thorogood, Walter O Spitzer, Irene Guggenmoos-Holzmann, Rudolf Bruppacher, None, Case-control study of oral contraceptives and risk of thromboembolic stroke: results from international study on oral contraceptives and health of young women BMJ. ,vol. 315, pp. 1502- 1504 ,(1997) , 10.1136/BMJ.315.7121.1502
A van Hylckama Vlieg, F M Helmerhorst, J P Vandenbroucke, C J M Doggen, F R Rosendaal, The venous thrombotic risk of oral contraceptives, effects of oestrogen dose and progestogen type: results of the MEGA case-control study BMJ. ,vol. 339, ,(2009) , 10.1136/BMJ.B2921
Vandenbroucke Jp, Helmerhorst F, [Third-generation pill]. Nederlands Tijdschrift voor Geneeskunde. ,vol. 144, pp. 818- ,(2000)