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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.





YEAR: 2004




CATEGORY: Contraception (Birth Control) and Family Planning



TITLE



Effect of four oral contraceptives on hemostatic parameters.



AUTHORS

Wiegratz I; Lee JH; Kutschera E; Winkler UH; Kuhl H


SOURCE

Contraception. 2004;70:97-106.



ABSTRACT

This is the first double-blind, controlled, randomized study comparing the effect of different estrogen components in

oral contraceptives (OCs) on hemostasis variables. Four groups of 25 women each were treated for six cycles with

monophasic combinations containing 21 tablets with either 30 µg ethinylestradiol (EE) + 2 mg dienogest (DNG)

(30EE/DNG), 20 µg EE + 2 mg DNG (20EE/DNG), 10 µg EE + 2 mg estradiol valerate (EV) + 2 mg DNG (EE/EV/DNG)

or 20 µg EE + 100 µg levonorgestrel (LNG) (EE/LNG). Blood samples were taken on Days 21-26 of the control cycle

and on Days 18-21 of the first, third and sixth treatment cycle. Treatment with all four OCs caused an increase in

levels of fibrinogen, prothrombin fragment 1+2, D-dimer, plasminogen, plasmin-antiplasmin complex and an increase

in protein C activity, a decrease in antithrombin activity, tissue-plasminogen activator (t-PA) and plasminogen

activator inhibitor (PAI), and a slight decrease in the sensitivity to activated protein C, but no significant change in

that of the thrombin-antithrombin complex. In users of the DNG-containing OCs, the reduction in total and free protein

S, and in t-PA and PAI was dependent on the EE dose, while factor VII activity was elevated, but not significantly

different from EE/LNG. The results are in agreement with those of previous studies. The effects of EE/EV/DNG on

total and free protein S and on t-PA and PAI were lower than those of 20EE/DNG, suggesting that the impact of 2 mg

EV on several hemostasis variables is less than that of 10 µg EE. The results show an antagonistic effect of LNG on

the EE-induced rise of factor VII activity and fragment 1_2 and on the EE-dependent reduction of total and free

protein S. (PubHealth.info Document ID: CONT1T 532-06)



PubHealth.info NOTE: The author(s) of this article titled, "Effect of four oral contraceptives on hemostatic

parameters.", is(are) Wiegratz I; Lee JH; Kutschera E; Winkler UH; Kuhl H. The source of this article is

"Contraception. 2004;70:97-106.". This article was published in 2004 in English language(s). (PubHealth.info®

Document ID: CONT1T 532-06. All rights reserved with PubHealth.info) PIN: 532


This article is peer-reviewed.




 

 

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