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Progestins mitigate thrombotic risk of contraceptive estrogens.

Women's Health Weekly

| April 01, 2004 | COPYRIGHT 2004 NewsRX. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

2004 APR 1 - (NewsRx.com & NewsRx.net) -- Progestins mitigate the thrombotic risk of contraceptive estrogens.

"A plausible mechanism to explain thrombotic risk differences associated with the use of second- and third-generation oral contraceptives (OCs), particularly in carriers of factor V[subscript]Leiden, is still lacking. In a double-blind trial, 51 women without and 35 women with factor V[subscript]Leiden were randomized to either a second- (30 microgram ethinylestradiol/150 microgram levonorgestrel) or third- (30 microgram ethinylestradiol/150 microgram desogestrel) generation OC. After two cycles of use and a wash-out of two cycles, the participants continued with the corresponding progestagen-only preparation," scientists in the Netherlands report.

"Hemostatic variables that probe the activity of the anticoagulant protein C system were determined," said Jeanet M. Kemmeren and collaborators at the University of Utrecht, University of Amsterdam, and Maastricht University. "Compared with levonorgestrel, desogestrel-containing OCs significantly decreased protein S and increased activated protein C (APC) resistance in both groups. OCs with desogestrel had the most pronounced effects in carriers of factor V[subscript]Leiden. Progestagen-only preparations caused changes of anticoagulant parameters opposite to those of combined OCs, which in a number of cases were more pronounced ...

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