Summary:
Oral contraception and hormonal postmenopausal treatment is used worldwide by more than 100
million women. Since 1960 it is known that female sex hormones increase the risk of venous
thrombosis, myocardial infarction and acute cerebrovascular attacks. This risk diminishes when
small doses of oral contraceptives are administered but it still remains the main cause of thromboembolism
in young women. The risk is greatest during the first year of contraceptive use, in
women taking desogestrel and gestoden (so-called third generation progesterones) and in women
with a prethrombotic predisposition. Hormonal substitution treatment (HRT) increases the risk
of venous thrombosis, in particular in the first year of HRT use. In women pregnancy and the
puerperium are risks for the development of venous thromboembolism.
Key words:
Venous thrombosis - Myocardial infarction - Oestrogens - Progesterone - Oral contraception
- Postmenopausal hormonal treatment
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