Yaz - Birth operate Methods and Their Effects on Women With persisting condition Conditions
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The most prominent thing for you, if you have a persisting condition, is to have an understanding of birth operate methods and how they can sway your health. Some of these methods can present specific concerns for unavoidable rheumatic conditions. If you have antiphospholipid syndrome or antiphospholipid antibodies in your blood, lupus or Ra, here is what is known about the concerns and the thorough birth operate methods.
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Antiphospholipid antibodies and antiphospholipid syndrome: Apl or antiphospholipid antibodies are proteins that sway the balance in the blood in the middle of clotting and bleeding and are a risk factor for blood clots. Aps or antiphospholipid syndrome, is an autoimmune disorder that is characterized by antiphospholipid antibodies, blood clotting, and miscarriages and the syndrome can happen alone or with lupus, even though you have the antibodies you may not have lupus.
If you have antiphospholipid antibodies you are more likely to establish blood clots if you have someone else risk factor for blood clotting such as a severe illness, surgery, continued bed rest, malignancy, or fertilization or it can be a lifestyle risk factor such as smoking or using compound contraceptives. That's why this second risk factor can be one of the variants in the blood that makes clotting possible. When you have lupus and antiphospholipid antibodies you are more likely to have other medical risk factors for a stroke or heart attack, like migraines, atherosclerosis or clogged arteries, or elevated cholesterol levels.
Contraceptives with estrogen are know to increase the risk of blood clots and when you have moderate to high antiphospholipid antibodies you should stay away from compound hormonal contraceptives. If you have low or borderline levels of the antiphospholipid antibodies, it may depend on whether you have had other risk factors for blood clots, to decide if you should stay clear from the compound hormonal contraceptives. Progesterone-only contraception is a good alternative for you if you have antiphospholipid antibodies and are unable to safely take estrogen. This recipe is also an sufficient way to decrease the heavy menstrual flow if you are on blood-thinning medications like warfarin, also known as Coumadin, which is often used to treat Aps, Antiphospholipid syndrome.
Systemic lupus erythematosus: It was understanding for many years that estrogen increased disease activity in lupus. This assumption was based on the findings in laboratory animals, and the fact that lupus is found mostly in women, 4 out of 5 habitancy with lupus are women, and the reports of birth operate pills and fertilization where women said their lupus got worse. There are early reports that recommend there was an increase risk of lupus flares with the use of contraceptives containing estrogen. But, there are more recent studies that were better-designed, using large numbers of participants and standardized methods of measuring flares that found that estrogen-containing contraceptives are safe in some women with lupus.
And there were two randomized clinical trials published at the end of 2005 that found compound birth operate pills don't significantly increase the risk of flares in women with inactive or stable, moderate lupus. The protection of Estrogens in Lupus Erythematosus National Assessment, or Selena, trial included 183 women with inactive or stable, moderate lupus and compared the effects of a thorough compound birth operate pill with the effects of an inactive placebo pill. Women who had active lupus, a history of blood clots, or antiphospholipid antibodies couldn't take participant in the study and the number and severity of the lupus flares showed no difference in the two groups. There was someone else study of 162 women with carport mild-to-moderate lupus that also found no adverse effects on flare rates whether the women used a compound pill, a progesterone-only pill or a copper Iud.
Based on these studies, it would appear that compound pills are safe for you if you have inactive or stable, moderate lupus and don't have antiphospholipid antibodies. Remember, though, that you may not even be able to tell how active your lupus is and often lupus activity can only be detected through blood test or other tests. So if you have lupus and you want to use a compound pill, your rheumatologist must be involved in the decision making. Since about 1/3 of the women with lupus have antiphospholipid antibodies, you have lupus you should be screened for the antibodies before starting a compound birth operate pill.
It seems that it would be smart for you if you have lupus to avoid the contraceptive patch, Ortho Evra, given the recent Fda warning that it increases the risk of blood clots above that of compound pills. There's also the birth operate pills that consist of drospirenone, Yasmin, Yaz, that are more likely to elevate blood levels of potassium, an prominent notice for you if you have lupus-related kidney problems. The protection of Iuds, if you are taking immunosuppressive drugs to treat your lupus, is not certain, because the drugs and the Iuds can raise the risk of infection. If you have active lupus, barrier methods or progesterone-only contraceptives are your options. Depo-Provera injections may be a question if you are taking corticosteroids, because both the Depo-Provera and the corticosteroids increase the risk of bone loss.
Rheumatoid arthritis: There are some who believe that if you have Ra you might literally benefit from rehabilitation with estrogen-containing birth operate pills because your symptoms improve while pregnancy. But, there's minute explore into using the pill to treat Ra and explore does advise that women with Ra have general estrogen levels but lower than general androgen levels, so hormonal therapy attempts have focused on supplementing androgens (androgens are primarily male sex hormones, but women have small amounts of them), with mixed results and no clear benefit. Postmenopausal estrogen therapy has also been studied in women with Ra but showed no follow on the activity of the Ra, and although there are no grounds for saying that compound hormonal contraceptives sell out the activity in Ra, there's no evidence that advise their use would make a flare more likely to happen. compound pills or the patch, may be sufficient and suitable for you if you have Ra, but there is a concern that the risk of blood clots from the patch is higher than the risk from the pill. Inserting a vaginal ring or a diaphragm may be difficult if you have severe Ra and like with lupus, it's not sure how safe Iuds are if you are taking immunosuppressive drugs such as ethotrexate, corticosteroids, or cyclosporine to treat their Ra. There are no studies that have addressed this query specifically with newer Ra medicines such as the biologics, among them Enbrel, Remicade and Humira.
There are other concerns as well and they are the hormone containing contraceptives can interact with other medicines, and this can sell out your medicine's effectiveness or increase its side effects. Some of these medicines are used to treat arthritis and related conditions. Some anticonvulsants like anti-seizure medications that are used to treat seizures, headaches, or persisting pain disorders may decrease the effectiveness of birth operate pills. There are also, corticosteroids, warfin, and cyclosporine that can interact with the contraceptives even though the interactions are weak. Other medications that are used to treat other health conditions, some antibiotics, may also interact with hormone containing contraceptives and if you are using one of these contraceptives you should always remind your physician of that fact when your physician prescribes you new medications.
When you have rheumatic conditions and you have to stay in bed for a while, maybe because of a flare-up of the condition, or after surgery you should stop using compound birth operate pills, the patch and the vaginal ring. Also, and especially if you have antiphospholipid antibodies, your physician should give you low doses of a blood-thinning medicine. If you are planning optional surgery, you should talk to your physician about stopping you compound hormonal contraceptive two months in advance, because estrogen's effects on blood clotting takes up to six weeks to reverse.
There are so many separate types of birth operate ready to you today that if you have a rheumatic health you can pick a safe and sufficient method. There are also many factors that have to be taken into notice and it's important that you, your gynecologist, and your rheumatologist work together to decide which of these methods is best for you.
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