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Ischemic stroke and the use of etonogestrel implant on adolescent
There is few scientific evidence of good quality on the relationship between an ischemic stroke and the isolated use of progestins. In general, it does not suggest an elevation of this risk. The World Health Organization (WHO) classifies continuation of the etonogestrel implant as category 3 if the event occurred while using it.
Source: Journal of Pediatric and Adolescent Gynecology - March 11, 2023 Category: OBGYN Authors: Liliane Diefenthaeler Herter, Francine Zap Bertoncello, Soraia Schmidt, Noadja Tavares de Fran ça, Mariane Faccin Beust, Rosi Pereira Balbinotto, Liliane Diefenthaeler Herter Source Type: research

Reply
We appreciate the interest that Drs Aznar and Cerdá have expressed in our Clinical Opinion piece. We did not intend to minimize the importance of factor V Leiden as a risk factor for venous thromboembolism (VTE) in women taking combined oral contraceptives (COCs). However, we primarily addressed the risks of myocardial infarction (MI) and ischemic stroke (IS), which are arterial thrombotic events, with COCs. Accordingly, we cited some well-established risk factors for MI and IS, and we suggested that tools such as the Framingham risk calculator may be helpful adjuncts to American College of Obstetricians and Gynecologists...
Source: American Journal of Obstetrics and Gynecology - March 1, 2013 Category: OBGYN Authors: Christopher R. McCartney, Jennifer P. Beller Tags: Letters to the Editors Source Type: research