Risk of venous thromboembolism in users of contraception and menopausal hormone therapy during the COVID-19 pandemic
SUMMARY OBJECTIVES The outbreak of coronavirus disease (COVID-19) is a public health emergency of international concern. Inflammatory changes are part of COVID-19 pathophysiology and this might generate a higher thromboembolic risk in patients using combined hormonal contraception and menopausal hormone therapy. We aimed to discuss the main aspects related to this issue and propose management strategies for women affected by COVID-19. METHODS This narrative review collected information from several articles published since the beginning of the outbreak of the new coronavirus disease about the pathophysiology, stage of the disease, the occurrence of thrombotic events, and the risk of thromboembolism in users of contraception and hormonal therapy. RESULTS This article consolidates clinical parameters about the risk of venous thromboembolism in users of contraception and menopausal hormone therapy emphasizing the probable increase of that risk in women with suspected or confirmed COVID-19 and bringing safer recommendations. CONCLUSIONS In this scenario, apart from the fundamental orientations of preventive measures, like social isolation and hygiene, it is important that all female health professionals have knowledge of the new rules and adopt safety measures, especially on the prescription of hormonal therapy and contraception.
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Associação Médica Brasileira
2020
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oai:scielo:S0104-423020200014000222020-11-04Risk of venous thromboembolism in users of contraception and menopausal hormone therapy during the COVID-19 pandemicPires,Andréa Larissa RibeiroBatista,José GomesAldrighi,José MendesMassaia,Irineu Francisco Delfino SilvaDelgado,Diego MedeirosFerreira-Filho,Edson SantosSoares-Junior,José Maria Contraception Hormone Replacement Therapy Coronavirus Infections Betacoronavirus Venous Thromboembolism/prevention & control SUMMARY OBJECTIVES The outbreak of coronavirus disease (COVID-19) is a public health emergency of international concern. Inflammatory changes are part of COVID-19 pathophysiology and this might generate a higher thromboembolic risk in patients using combined hormonal contraception and menopausal hormone therapy. We aimed to discuss the main aspects related to this issue and propose management strategies for women affected by COVID-19. METHODS This narrative review collected information from several articles published since the beginning of the outbreak of the new coronavirus disease about the pathophysiology, stage of the disease, the occurrence of thrombotic events, and the risk of thromboembolism in users of contraception and hormonal therapy. RESULTS This article consolidates clinical parameters about the risk of venous thromboembolism in users of contraception and menopausal hormone therapy emphasizing the probable increase of that risk in women with suspected or confirmed COVID-19 and bringing safer recommendations. CONCLUSIONS In this scenario, apart from the fundamental orientations of preventive measures, like social isolation and hygiene, it is important that all female health professionals have knowledge of the new rules and adopt safety measures, especially on the prescription of hormonal therapy and contraception.info:eu-repo/semantics/openAccessAssociação Médica BrasileiraRevista da Associação Médica Brasileira v.66 suppl.2 20202020-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302020001400022en10.1590/1806-9282.66.s2.22 |
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Pires,Andréa Larissa Ribeiro Batista,José Gomes Aldrighi,José Mendes Massaia,Irineu Francisco Delfino Silva Delgado,Diego Medeiros Ferreira-Filho,Edson Santos Soares-Junior,José Maria |
spellingShingle |
Pires,Andréa Larissa Ribeiro Batista,José Gomes Aldrighi,José Mendes Massaia,Irineu Francisco Delfino Silva Delgado,Diego Medeiros Ferreira-Filho,Edson Santos Soares-Junior,José Maria Risk of venous thromboembolism in users of contraception and menopausal hormone therapy during the COVID-19 pandemic |
author_facet |
Pires,Andréa Larissa Ribeiro Batista,José Gomes Aldrighi,José Mendes Massaia,Irineu Francisco Delfino Silva Delgado,Diego Medeiros Ferreira-Filho,Edson Santos Soares-Junior,José Maria |
author_sort |
Pires,Andréa Larissa Ribeiro |
title |
Risk of venous thromboembolism in users of contraception and menopausal hormone therapy during the COVID-19 pandemic |
title_short |
Risk of venous thromboembolism in users of contraception and menopausal hormone therapy during the COVID-19 pandemic |
title_full |
Risk of venous thromboembolism in users of contraception and menopausal hormone therapy during the COVID-19 pandemic |
title_fullStr |
Risk of venous thromboembolism in users of contraception and menopausal hormone therapy during the COVID-19 pandemic |
title_full_unstemmed |
Risk of venous thromboembolism in users of contraception and menopausal hormone therapy during the COVID-19 pandemic |
title_sort |
risk of venous thromboembolism in users of contraception and menopausal hormone therapy during the covid-19 pandemic |
description |
SUMMARY OBJECTIVES The outbreak of coronavirus disease (COVID-19) is a public health emergency of international concern. Inflammatory changes are part of COVID-19 pathophysiology and this might generate a higher thromboembolic risk in patients using combined hormonal contraception and menopausal hormone therapy. We aimed to discuss the main aspects related to this issue and propose management strategies for women affected by COVID-19. METHODS This narrative review collected information from several articles published since the beginning of the outbreak of the new coronavirus disease about the pathophysiology, stage of the disease, the occurrence of thrombotic events, and the risk of thromboembolism in users of contraception and hormonal therapy. RESULTS This article consolidates clinical parameters about the risk of venous thromboembolism in users of contraception and menopausal hormone therapy emphasizing the probable increase of that risk in women with suspected or confirmed COVID-19 and bringing safer recommendations. CONCLUSIONS In this scenario, apart from the fundamental orientations of preventive measures, like social isolation and hygiene, it is important that all female health professionals have knowledge of the new rules and adopt safety measures, especially on the prescription of hormonal therapy and contraception. |
publisher |
Associação Médica Brasileira |
publishDate |
2020 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302020001400022 |
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