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publicado em 29/11/2012 às 13h00:00
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Contraceptive associated with smoking increases risk of thrombosis in women

 
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Foto: Milton Michida/Governo de São Paulo
Study was done at Hospital Transplant the State of São Paulo
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Study was done at Hospital Transplant the State of São Paulo

A survey conducted at the clinic for thrombophilia Transplant Hospital of São Paulo (formerly Brigadier Hospital), a unit of Ministry of Health in the state capital, shows that the use of oral contraceptives, associated with smoking, can significantly raise the chances of women develop thrombosis.

The study was based on outpatient 2011. In total, 400 women between 20 and 45 years with venous thrombosis were followed, of which 180 (45%) smoked and also used the contraceptive method.

The patients who did not use either substance corresponded to 23 women, or 6%, approximately. The other 197 users who developed the problem had still other risk factors, but have also had contact with the smoke and the pill at some point.

Deep vein thrombosis occurs when a blood clot forming in a vein from inside our body, inside of your leg muscles, for example.

It's as if the blood formed a cork in the blood vessel and not let the blood circulate, explains the medical hematologist Denise Zahr.

The contraceptive hormones, like estrogen and progesterone, alter the circulation and increase blood-clotting factors. So the chances of developing blood clots in these deep veins are larger.

In general, the problem may be associated with genetic alterations, but is mainly related dyslipidemia (high blood pressure and cholesterol) and risk factors such as obesity, sedentary lifestyle and smoking.

This side effect of the pill is told in the package leaflet, but women are not always well guided by experts. The combination of contraceptive use with a cigarette, or even a risk factor for thrombosis acts as a pump to the body. It is extremely important that the doctor knows well the story of his patient before prescribing any medication, and follow closely the treatment, says Denise.

Only experts can indicate the best method of prevention for every woman as your age, family history and financial condition. Besides the pill, other contraceptives such as the intrauterine device (IUD). The condom also prevents contact with sexually transmitted diseases.

Make walking and exercise regularly, eat a balanced diet, avoid self medication and quit smoking are safe ways to prevent thrombosis, the expert concludes.

Source: Isaude.net
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