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Oral contraceptives and systemic lupus erythematosus: what should we advise to our patients?

dc.contributor.authorDuarte, C
dc.contributor.authorInês, L
dc.date.accessioned2010-10-08T13:29:16Z
dc.date.available2010-10-08T13:29:16Z
dc.date.issued2010
dc.description.abstractOral contraceptives (OC) are the contraceptive method of choice for the majority of Western world women. Decision on giving OC to patients with Systemic Lupus Erythematosus (SLE) puts special issues and concerns. In fact, OC have been evocated as etiologic risk factors for SLE and also associated with an increased risk of flares. During periods of active disease an effective contraception is mandatory, but OC puts safety problems in this setting. On the other hand, many SLE patients will be on a low activity or remission state with much less aggressive medication for most of the time. Cumulative damage due to SLE and comorbidities such as cardiovascular disease, antiphospholipid syndrome/ antibodies also has to be considered for pregnancy and contraception decisions. Advice on the benefits and risks of OC is an important and difficult aspect of the care of women with SLE. This advice should be done based on the best evidence and always considering our particular subject and its changing risk profile. This review will focus on OC in SLE women and particularly on current evidence on safety.por
dc.identifier.urihttp://hdl.handle.net/10400.4/821
dc.language.isoengpor
dc.publisherSociedade Portuguesa de Reumatologiapor
dc.subjectContraceptivos Oraispor
dc.subjectLúpus Eritematoso Sistémicopor
dc.titleOral contraceptives and systemic lupus erythematosus: what should we advise to our patients?por
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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