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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Effect of the injectable contraceptive depot-medroxyprogesterone acetate on coagulation parameters in new users

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Autor(es):
Melhado-Kimura, Vaneska ; Annichino Bizzacchi, Joyce Maria ; Picoli Quaino, Susan Kelly ; Montalvao, Silmara ; Bahamondes, Luis ; Fernandes, Arlete
Número total de Autores: 6
Tipo de documento: Artigo Científico
Fonte: JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH; v. 43, n. 6, p. 1054-1060, JUN 2017.
Citações Web of Science: 3
Resumo

Aim: The aim of this study was to assess the effects of the injectable depot-medroxyprogesterone acetate (DMPA) contraceptive on selected blood coagulation parameters in young, healthy new users. Methods: The prospective study included 39 healthy women aged 20-39 years, with a body mass index (BMI; kg/m(2)) < 30, who were never users of DMPA, and who opted to use DMPA (21 women) or a copper intrauterine device (IUD; 18 women). The women in the two groups were matched for age (+/- 1 year) and BMI (+/- 1). Blood samples were obtained from all participants at baseline and at 6 and 12 months. Activated partial thromboplastin time, D-dimer, protein C, antithrombin, protein S, and thrombin generation test (lag time, endogenous thrombin potential, time to peak, and velocity index of thrombin generation) were analyzed. Repeated-measures analysis of variance was used to compare the groups. Results: There were no significant differences between the groups at baseline with respect to any of the parameters evaluated; however, in the DMPA group, D-dimer levels were lower and the time to peak thrombin generation was longer than in the IUD group at 12 months of evaluation. Conclusion: Lower D-dimer and longer time to peak thrombin generation in new users of DMPA suggest a positive profile against hypercoagulability. (AU)

Processo FAPESP: 11/14827-9 - Avaliação de transtorno de comportamento alimentar, da densidade mineral óssea (DMO) e de parâmetros de coagulação em novas usuárias do contraceptivo trimestral com acetato de medroxiprogesterona de depósito e controles em seguimento de um ano
Beneficiário:Luis Guillermo Bahamondes
Modalidade de apoio: Auxílio à Pesquisa - Regular
Processo FAPESP: 15/20504-9 - Manifestações clínicas de usuárias de contraceptivos de somente progestogênios
Beneficiário:Luis Guillermo Bahamondes
Modalidade de apoio: Auxílio à Pesquisa - Temático