Impey L, Greenwood C, Taylor A, Redman C, Wainscoat J
Department of Obstetrics and Gynecology, The John Radcliffe Hospital, Oxford, UK.
J Matern Fetal Med. 2000 Jul-Aug;9(4):248-9. doi: 10.1002/1520-6661(200007/08)9:4<248::AID-MFM12>3.0.CO;2-X.
A woman whose sideroblastic anemia had relapsed with progestogen and combined oral contraceptive therapy suffered further relapses in a (twin) pregnancy. Previous reports exist of relapses both from progestogens and in pregnancy, and we postulate a shared etiology. Affected women considering pregnancy or sex hormone usage should be advised accordingly.