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Use of norethisterone oenanthate and predisposition to thrombosis
Author(s):
1. Nasir Ali Afsar: Department of Pharmacology, Ziauddin Medical University, Karachi, Pakistan
2. Qamaruddin Barakzai: Department of Pharmacology, Ziauddin Medical University, Karachi, Pakistan
3. Salman Naseem Adil: Department of Pathology, Faculty of Health Sciences, The Aga Khan University, Karachi, Pakistan
Abstract:
OBJECTIVE: To observe the effects of progestin-only hormonal contraceptives in our population. DESIGN: Cohort study. PLACE AND DURATION OF STUDY: Department of Pharmacology, Ziauddin Medical University, Karachi and Department of Pathology, Faculty of Health Sciences, The Aga Khan University, Karachi from October 2002 to September 2003. PATIENTS AND METHODS: The study comprised of 50 women of reproductive age group, divided into two equal and matched groups of 25 each, namely, a group of users of progestin-only injectable hormonal contraceptive Norethisterone oenanthate [NET EN] 200 mg used as a 2-monthly injection and a control group not using any hormonal contraception. Complete blood counts, prothrombin time (PT) and international normalized ratio (INR) as well as activated partial thromboplastin time (APTT) were monitored. RESULTS: APTT and prothrombin time were not significantly different in both the groups. Menstrual irregularities were found out by more frequent in users of injectable hormonal contraceptives than in non-users (p= 0.001). Hemoglobin (p= 0.029) and hematocrit were slightly better preserved in the same group. CONCLUSION: Use of Norethisterone oenanthate does not predispose to thrombogenesis in current dose for contraception.
Page(s): 556-559
DOI: DOI not available
Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 14, Issue: 9, Year: 2004
Keywords:
Progestin Norethisterone Contraceptive PT APTT Coagulation Thrombosis Thrombophilia
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