【血管事件后的避孕】。

La Revue du praticien Pub Date : 2025-03-01
Sandrine Pérol
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引用次数: 0

摘要

血管事件后避孕。静脉和动脉血栓栓塞事件是育龄妇女罕见的疾病。尽管如此,支持患者的整体医疗管理,特别是关于避孕,是至关重要的。联合激素避孕药(药片、贴片或阴道避孕药)会增加静脉和动脉血栓形成的风险:有血栓形成史的妇女不应使用这些药物。单孕激素避孕(口服、皮下或宫内方法)似乎对静脉和动脉血栓形成没有影响:在这些高危情况下可以开处方,但应保持谨慎。在复杂的医疗情况下,应在专家中心共同讨论激素避孕的使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Contraception following vascular events].

CONTRACEPTION FOLLOWING VASCULAR EVENTS. Venous and arterial thromboembolic events are uncommon diseases among women of childbearing age. Nevertheless, it is essential to support patients in their overall medical management, particularly about contraception. Combined hormonal contraception (pill, patch or vaginal contraceptives) increase the risk of venous and arterial thrombosis: they should not be used in women with a personal history of thrombosis. Progestin-only contraception (delivered as either oral, subcutaneous or intrauterine methods) seem to have no effect on venous and arterial thrombosis: they could be prescribed in these high-risk situations but should remain caution. In complex medical situations, the use of hormonal contraception should be discussed collegially, in an expert center.

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