Winkler U H, Lauck U S, Ebert C, Schindler A E
Abteilung für Gynäkologie/gynäkologische Onkologie, Universitätsklinikum Essen.
Zentralbl Gynakol. 1998;120(1):32-7.
The relationship between thromboembolism and oral contraceptives has been discussed for 30 years. Recently, a new actuality for this problem has grown up. The estrogen component of the preparations seems to be the cause, but some authors also think of the progestogens as responsible for drug-related thromboembolic disorders. In 31 patients with mastopathy or mastodynia, who had been treated with 10 mg medrogeston of dydrogesteron for six cycles, there were no significant changes in the parameters of hemostasis and fibrinolysis. Especially, we did not find any indications to an activation of the coagulation system. There is no evidence for a thrombogenetic effect caused by the cyclic therapy with these progestogens.
血栓栓塞与口服避孕药之间的关系已被讨论了30年。最近,这个问题出现了新的情况。制剂中的雌激素成分似乎是原因,但一些作者也认为孕激素与药物相关的血栓栓塞性疾病有关。在31例患有乳腺病或乳腺疼痛的患者中,用10mg甲地孕酮或炔诺孕酮治疗六个周期后,止血和纤维蛋白溶解参数没有显著变化。特别是,我们没有发现任何凝血系统激活的迹象。没有证据表明这些孕激素的循环治疗会产生血栓形成作用。