Monday, October 31, 2011

Newer OCPs Associated with an Increase Risk of DVTs

We've known for a while that estrogens can increase the risk of thromboembolic events in women, whether used for contraception or to treat vasomotor instability.  Recently, we've started offering lower & lower doses for both situations to mitigate this situation.

While deep venous thromobotic (DVT) risk appears to be lower for transdermal forms used to treat vasomotor instability, the only contraceptive patch actually increases thromboembolic risk compared to oral forms.  Obviously, the manufacturers have been working to develop newer versions of hormonal contraception in the hopes that risk of thromboembolic events would be lower.

To remove any bias, it should be noted that even the vaginal hormonal ring is associated with an increase risk of DVT, just like the transdermal patch as noted above.  However, while progestin combination hormone pills can double & even triple the (relative) risk of DVT, the overall (absolute) risk remains small.

Furthermore, don't forget that hormonal contraception has been associated with a lower risk of cancer, especially ovarian.  In the end, the decision regarding which hormonal method to use should be an individual one made in conjunction with one's family physician after reviewing one's medical, surgical, family & social history.  By the way, don't forget to use a condom to minimize risk of catching/giving STDs.



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Sunday, October 30, 2011

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red path on my cervix



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Is weight gain and hot flashes normal after pituitary tumor removal?



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I had a bowel resection, the surgeon made a mistake and didnt realize he cut my spleen.

 



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hypothyroidism



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why do my teeth itch?



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horse kick left leg by knee big lump b/b toes hurts to walk 14 days ago

 



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chest pain





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kicked by horse left leg big lump foot swelled up b/b toes

 



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what causes a pain in the right temple directly up about 1 mm and to the left 1mm?

 


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if your having sex and your partner presses hard enough on your ribs can you have rib pain for days?

 



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i am 29.i am every day doing exercise.Last 4 days i am feeling always chest tightness and tiredness, why?



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just had a sessile polyp removed from my distol sigmoid, what does this mean.





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Saturday, October 29, 2011

Q&A Session at Avvo.com


Are testosterone boosters safe?



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Extreme Exhaustion



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Why am i always so exhausted?



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I just want to know why after I get through walking my feet hurt?



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Should I stop taking this weight loss supplement?



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Ithinke i had a sorke last Monday.



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I have not seen my period in 33 days is that normal...this have never happen before..could I be pregnant?



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I'm not sure what i should do, is it safe to avoid the hospital bill?



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Are Bumetanide,Lisinopril,Atenolol and Norvasc overkill?



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I THINK I HAD A STORK LAST MONDAY MY BP WAS VERY HIGH AND I HAD A VERY BAD HEADACHE DID NOT GO TO ER STILL HAVE SPEECH TROU



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Could i be pregnant



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