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Total 345 results found since Jan 2013.

Combined hormonal contraception and migraine: are we being too strict?
Purpose of review Combined hormonal contraception has been contraindicated in migraines, especially in migraines with aura, because of ischemic stroke risk. Newer formulations are now available and physicians may unnecessarily be limiting access to contraceptive and medical therapeutic options for patients with migraines. This review summarizes the available data regarding ischemic stroke risk of modern combined hormonal contraception in the setting of migraines. Recent findings Limited data exists on current formulations of combined hormonal contraception and outcomes in migraine patients. Studies indicate ischemic s...
Source: Current Opinion in Obstetrics and Gynecology - November 8, 2019 Category: OBGYN Tags: FAMILY PLANNING: Edited by Paul D. Blumenthal Source Type: research

Migraine and menopause - a narrative review
Discussion and conclusion: Many women are informed that their migraines will disappear postmenopause; there are some data to support this, but a specific time frame has not been evidenced. Stroke risk in women with migraine with aura is small in absolute terms, but important at the population level, because migraine is so prevalent. The risk becomes clinically important in the context of additional stroke risk factors, which increase with aging such as hypertension. Estrogen in combined hormonal contraception increases the risk of an ischemic stroke, however, the lower amount of estrogen in HT may not contribute to a m...
Source: Menopause - January 1, 2021 Category: OBGYN Tags: Review Articles Source Type: research

Blood pressure measurement prior to initiating hormonal contraception: a systematic review
Conclusions: Fair-quality evidence from five reports showed that women who did not have blood pressure measurement prior to COC initiation had a higher risk for AMI and ischemic stroke than women who did have blood pressure measurement. One fair-quality study showed no increased risk for hemorrhagic stroke based on whether or not blood pressure was measured. Studies that examined hormonal contraceptive methods other than COCs were not identified.
Source: Contraception - October 12, 2012 Category: OBGYN Authors: Naomi K. Tepper, Kathryn M. Curtis, Maria W. Steenland, Polly A. Marchbanks Tags: Review Articles Source Type: research

Estradiol-based postmenopausal hormone therapy and risk of cardiovascular and all-cause mortality
Conclusions: In absolute terms, the risk reductions mean 19 fewer CHD deaths and 7 fewer stroke deaths per 1,000 women using any HT for at least 10 years.
Source: Menopause - August 28, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Use of Antihypertensive Medications During Delivery Hospitalizations Complicated by Preeclampsia.
CONCLUSION: Use of multiple antihypertensive agents to treat preeclamptic women increased over the study period for women with mild, superimposed, and severe preeclampsia. There was substantial hospital variation in use of antihypertensive agents. This trend was associated with decreased risk of maternal stroke. PMID: 29420396 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - February 5, 2018 Category: OBGYN Authors: Cleary KL, Siddiq Z, Ananth CV, Wright JD, Too G, DʼAlton ME, Friedman AM Tags: Obstet Gynecol Source Type: research

Trends and Outcomes for Deliveries with Hypertensive Disorders of Pregnancy from 2000 to 2018: A Repeated Cross-Sectional Study
CONCLUSION: HDP increased in the setting of risk factors for HDP becoming more common while stroke decreased.PMID:34865302 | DOI:10.1111/1471-0528.17038
Source: BJOG : An International Journal of Obstetrics and Gynaecology - December 5, 2021 Category: OBGYN Authors: Timothy Wen Christina N Schmidt Nasim C Sobhani Jean Guglielminotti Eliza C Miller Desmond Sutton Yael Lahtermaher Mary E D'Alton Alexander M Friedman Source Type: research

The fetal cardiovascular response to increased placental vascular impedance to flow determined with 4-dimensional ultrasound using spatiotemporal image correlation and virtual organ computer-aided analysis
Conclusion: Increased placental vascular impedance to flow is associated with changes in fetal cardiac function.
Source: American Journal of Obstetrics and Gynecology - December 10, 2012 Category: OBGYN Authors: Neil Hamill, Roberto Romero, Sonia Hassan, Wesley Lee, Stephen A. Myers, Pooja Mittal, Juan Pedro Kusanovic, Mamtha Balasubramaniam, Tinnakorn Chaiworapongsa, Edi Vaisbuch, Jimmy Espinoza, Francesca Gotsch, Luis F. Goncalves, Shali Mazaki-Tovi, Offer Erez Tags: Imaging Source Type: research

Managing menopause.
Authors: Reid R, Abramson BL, Blake J, Desindes S, Dodin S, Johnston S, Rowe T, Sodhi N, Wilks P, Wolfman W, Menopause and Osteoporosis Working Group, Fortier M, Reid R, Abramson BL, Blake J, Desindes S, Dodin S, Graves L, Guthrie B, Khan A, Johnston S, Rowe T, Sodhi N, Wilks P, Wolfman W Abstract OBJECTIVE: To provide updated guidelines for health care providers on the management of menopause in asymptomatic healthy women as well as in women presenting with vasomotor or urogenital symptoms and on considerations related to cardiovascular disease, breast cancer, urogynaecology, and sexuality. OUTCOMES: Lifestyle...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 2, 2014 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Cardiovascular risk factors and diseases in women undergoing hysterectomy with ovarian conservation
Conclusions: Hysterectomy with ovarian conservation is associated with cardiovascular risk factors, particularly obesity. Obesity may contribute to underlying gynecologic conditions leading to hysterectomy; however, surgical selection may also play a role.
Source: Menopause - January 28, 2016 Category: OBGYN Tags: Original Articles Source Type: research

Safety of hormonal contraceptives among women with migraine: a systematic review
Migraine is common among women of reproductive age and is associated with an increased risk of ischemic stroke. Combined oral contraceptives (COCs) are also associated with an increased risk of ischemic stroke. Use of hormonal contraception among women with migraine might further elevate the risk of stroke among women of reproductive age.
Source: Contraception - May 2, 2016 Category: OBGYN Authors: Naomi K. Tepper, Maura K. Whiteman, Lauren B. Zapata, Polly A. Marchbanks, Kathryn M. Curtis Tags: Review article Source Type: research

Safety of hormonal contraceptives among women with migraine: A systematic review
Migraine is common among women of reproductive age and is associated with an increased risk of ischemic stroke. Combined oral contraceptives (COCs) are also associated with an increased risk of ischemic stroke. Use of hormonal contraception among women with migraine might further elevate the risk of stroke among women of reproductive age.
Source: Contraception - May 2, 2016 Category: OBGYN Authors: Naomi K. Tepper, Maura K. Whiteman, Lauren B. Zapata, Polly A. Marchbanks, Kathryn M. Curtis Tags: Review article Source Type: research

Cardiovascular disease incidence among females in South Carolina by type of oral contraceptives, 2000 –2013: a retrospective cohort study
ConclusionIn light of an association between POC use and decreased heart disease and stroke, women ’s CVD risk factors should be carefully considered when choosing which OC to use. Baseline CVD risk should be a part of the discussion between women and their primary care providers when making choices regarding OCs.
Source: Archives of Gynecology and Obstetrics - October 5, 2016 Category: OBGYN Source Type: research

Temporal Summation in Chronic Pelvic Pain.
CONCLUSION: Women with chronic pelvic pain and allodynia show significant worsening of pain with successive strokes of a cotton-tip applicator, thus indicates that wind-up and central sensitization are present in women with chronic pelvic pain and allodynia. Identification of summation is further evidence of neuroplasticity, which is helpful in innovative therapies for chronic pelvic pain. PMID: 31882288 [PubMed - as supplied by publisher]
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 30, 2019 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research