Case-research
1) A 35-12 months-previous woman got here for bodily remedy 2 months ago. The lady works as a waiter for 35hrs/week for five days. Her work involves four 1/2 hours of standing and serving in a day and the rest of the hours at the registry. The lady has no significant historical past of hypertension, most cancers, stroke or diabetes. The woman has the BMI of 24 and is completely fit and wonderful physically. The lady complains of excruciating right leg pain.There is no involvement in her again with any symptoms of discogenic pain. On palpation the girl complains of pain in the calf region R>L. The girl also reviews that the ache began 2 months in the past and is now considerably and regularly progressing to bilateral sides. On examination, I saw light blue tortuous bulgy veins on the precise decrease extremity. However, there have been few bulgy veins and it looked like the varicose veins had been of their major stage of development. I requested her every part that could be linked to the etiology however to my shock every part was negative. I interpreted that her job which requires standing and moving around might be one of many issue, however to my surprise she was unemployed and began working as a waiter from the last three-months. I was nonetheless questioning and attempting to dig into all the components that I may, lastly I requested her any treatment that she has forgot to tell me. She finally informed me that she is taking contraception pills.
WebMD published an article on birth control drugs on Feb' 6th 2012. Pfizer (the manufacturer) recollects 1 million packs of birth control drugs containing LO/Ovral-28 and Norgestrel ( mixture of dextro-Norgestrel and Levonorgestrel Ethinyl Estradiol being bought in united states of america at totally different locations underneath completely different generic names. There are greater than 12 million women in United states of america on birth control pills (WebMD). Let us take a look at this with the help of evidence based analysis and peer reviewed articles.
1) Ledegaard, Nielsen, Skovlund, Skjeldestad, & Lokkegard, (2011) carried out a analysis to search out the risk of venous thromboembolism in the girls group taking progesterone and estrogen dosages. Your entire cohort study was performed in the Danish community. The study used the oral dosing of desogestrel, gestodene, drospirenone and in contrast it with levonorgesterol. An statement was performed between the years 1999-2009, the full number of ladies underneath the commentary were 17 329 718. The age range was identified between 15-forty nine years of age. Here comes the fascinating part;
Outcomes: The venous thrombosis events showed eighty two% of ladies having cerebral venous thrombosis, 63.6% having deep venous thrombosis, 26.2% having pulmonary embolism (with or without deep venous thrombosis), fifty five% portal thrombosis, 15% cava thrombosis, four% thrombosis of kidney veins and 6.6% unspecified deep vein thrombosis.
The Crimson alert areas of the end result are way more interesting! The customers of Levonorgestrel were at THREEFOLD elevated danger of confirmed deep venous thrombosis and customers of oral contraceptives containing desogestrel, gestodene, drospirenone or cyproterone acetate have been at SIX/SEVEN FOLD elevated threat of venous thrombosis. (Ledegaard et al, 2011).
2) Asgari et al., (2010) confirmed a analysis stating that the oral contraceptives containing estrogen (ethinylestradiol) and/or progesterone (progestin or synthetic progesterone-like compounds), alter the serum estradiol/progesterone ratio, which may influence the potential danger of inflicting squamous cell carcinoma.
I have additionally seen women complaining of increased weight, elevated within the BMI, hypertension, lack of hair, dizziness and lots of different issues when they start taking contraception drugs with out consulting the doctor. It's necessary to know that the beginning-control capsules generally tend to work together with your current pathology in case you have any.
Please seek the advice of a health care provider before you begin, plus there are at all times completely different options to keep away from birth control pills. There are additionally analysis displaying increased in the danger of miscarriages, ovarian cyst and uterine cancer secondary to extend use of contraception pills.
All the time keep in mind self-education is the first step in direction of prevention and cure!
Thank You,
Sweta Christian, PT.
http://www.PractisingPT.com
References:
Lidegaard, O., Nielsen, L.H., Skovlund, C.W., Skjeldestad, F.E., & Lokegaard, E., (2011). Risk of venous thromboembolism from use of oral contraceptives containing completely different progestogens and oestrogen doses. BMJ. 2011; 343: d6423.
Asgari, M.M., Effird, J.M., Warton, E.M., & Friedman, G.D., (2010). Potential Danger Factors for Cutaneous Squamous Cell Carcinoma include Oral Contraceptives. Int J Environ Res Public Health. 2010 February; 7(2): 427â€"442.
WebMD. Start Management Health Center. http://www.webmd.com/intercourse/start-control/information/20120201/1-million-beginning-control-tablet-packs-recalled
1) A 35-12 months-previous woman got here for bodily remedy 2 months ago. The lady works as a waiter for 35hrs/week for five days. Her work involves four 1/2 hours of standing and serving in a day and the rest of the hours at the registry. The lady has no significant historical past of hypertension, most cancers, stroke or diabetes. The woman has the BMI of 24 and is completely fit and wonderful physically. The lady complains of excruciating right leg pain.There is no involvement in her again with any symptoms of discogenic pain. On palpation the girl complains of pain in the calf region R>L. The girl also reviews that the ache began 2 months in the past and is now considerably and regularly progressing to bilateral sides. On examination, I saw light blue tortuous bulgy veins on the precise decrease extremity. However, there have been few bulgy veins and it looked like the varicose veins had been of their major stage of development. I requested her every part that could be linked to the etiology however to my shock every part was negative. I interpreted that her job which requires standing and moving around might be one of many issue, however to my surprise she was unemployed and began working as a waiter from the last three-months. I was nonetheless questioning and attempting to dig into all the components that I may, lastly I requested her any treatment that she has forgot to tell me. She finally informed me that she is taking contraception pills.
WebMD published an article on birth control drugs on Feb' 6th 2012. Pfizer (the manufacturer) recollects 1 million packs of birth control drugs containing LO/Ovral-28 and Norgestrel ( mixture of dextro-Norgestrel and Levonorgestrel Ethinyl Estradiol being bought in united states of america at totally different locations underneath completely different generic names. There are greater than 12 million women in United states of america on birth control pills (WebMD). Let us take a look at this with the help of evidence based analysis and peer reviewed articles.
1) Ledegaard, Nielsen, Skovlund, Skjeldestad, & Lokkegard, (2011) carried out a analysis to search out the risk of venous thromboembolism in the girls group taking progesterone and estrogen dosages. Your entire cohort study was performed in the Danish community. The study used the oral dosing of desogestrel, gestodene, drospirenone and in contrast it with levonorgesterol. An statement was performed between the years 1999-2009, the full number of ladies underneath the commentary were 17 329 718. The age range was identified between 15-forty nine years of age. Here comes the fascinating part;
Outcomes: The venous thrombosis events showed eighty two% of ladies having cerebral venous thrombosis, 63.6% having deep venous thrombosis, 26.2% having pulmonary embolism (with or without deep venous thrombosis), fifty five% portal thrombosis, 15% cava thrombosis, four% thrombosis of kidney veins and 6.6% unspecified deep vein thrombosis.
The Crimson alert areas of the end result are way more interesting! The customers of Levonorgestrel were at THREEFOLD elevated danger of confirmed deep venous thrombosis and customers of oral contraceptives containing desogestrel, gestodene, drospirenone or cyproterone acetate have been at SIX/SEVEN FOLD elevated threat of venous thrombosis. (Ledegaard et al, 2011).
2) Asgari et al., (2010) confirmed a analysis stating that the oral contraceptives containing estrogen (ethinylestradiol) and/or progesterone (progestin or synthetic progesterone-like compounds), alter the serum estradiol/progesterone ratio, which may influence the potential danger of inflicting squamous cell carcinoma.
I have additionally seen women complaining of increased weight, elevated within the BMI, hypertension, lack of hair, dizziness and lots of different issues when they start taking contraception drugs with out consulting the doctor. It's necessary to know that the beginning-control capsules generally tend to work together with your current pathology in case you have any.
Please seek the advice of a health care provider before you begin, plus there are at all times completely different options to keep away from birth control pills. There are additionally analysis displaying increased in the danger of miscarriages, ovarian cyst and uterine cancer secondary to extend use of contraception pills.
All the time keep in mind self-education is the first step in direction of prevention and cure!
Thank You,
Sweta Christian, PT.
http://www.PractisingPT.com
References:
Lidegaard, O., Nielsen, L.H., Skovlund, C.W., Skjeldestad, F.E., & Lokegaard, E., (2011). Risk of venous thromboembolism from use of oral contraceptives containing completely different progestogens and oestrogen doses. BMJ. 2011; 343: d6423.
Asgari, M.M., Effird, J.M., Warton, E.M., & Friedman, G.D., (2010). Potential Danger Factors for Cutaneous Squamous Cell Carcinoma include Oral Contraceptives. Int J Environ Res Public Health. 2010 February; 7(2): 427â€"442.
WebMD. Start Management Health Center. http://www.webmd.com/intercourse/start-control/information/20120201/1-million-beginning-control-tablet-packs-recalled
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