O uso de métodos contraceptivos hormonais em pacientes com asma: repercussões clínicas

Detalhes bibliográficos
Autor(a) principal: Elaine Cristina Fontes de Oliveira
Data de Publicação: 2023
Outros Autores: Rossana Cristina Fontes Cotta, Ana Luiza Lunardi Rocha
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UFMG
Texto Completo: http://hdl.handle.net/1843/77138
Resumo: Objective: To analyze the use of hormonal contraceptives in women with asthma and the choice of this contraceptive method for this population, evaluating possible repercussions on new episodes of asthma and wheezing. Methods: Longitudinal studies, clinical trials, systematic reviews and meta-analyses were selected. Platforms consulted: PubMed, Embase, Cochrane, SciELO, using the descriptors: “contraception”, “hormonal contraception”, “levonorgestrel-releasing intrauterine system” and “asthma”. Results: Two large studies demonstrated that the use of hormonal contraceptives was associated with a reduced risk of new episodes of asthma. A systematic review concluded that the results for the use of hormonal contraceptives for women with asthma were mixed, with increased or decrease in the following risks: new asthma episodes, increased frequency and wheezing. The use of hormonal contraception in obese patients with asthma is controversial. Conclusion: The results for the use of hormonal contraceptives in women with asthma are inconsistent, with reports of increased or reduced risk of new episodes. The use of the contraceptive method should be discussed individually, taking into account other associated risk factors and the woman’s desire. The patient will be advised if there is a worsening of the clinical symptoms of asthma while using any hormonal contraceptive method.
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spelling O uso de métodos contraceptivos hormonais em pacientes com asma: repercussões clínicasThe use of hormonal contraceptives methods in patients with asthma: clinical repercussionsContracepção HormonalAsmaAnticoncepcionais oraisContracepção HormonalAsmaAnticoncepcionais OraisObjective: To analyze the use of hormonal contraceptives in women with asthma and the choice of this contraceptive method for this population, evaluating possible repercussions on new episodes of asthma and wheezing. Methods: Longitudinal studies, clinical trials, systematic reviews and meta-analyses were selected. Platforms consulted: PubMed, Embase, Cochrane, SciELO, using the descriptors: “contraception”, “hormonal contraception”, “levonorgestrel-releasing intrauterine system” and “asthma”. Results: Two large studies demonstrated that the use of hormonal contraceptives was associated with a reduced risk of new episodes of asthma. A systematic review concluded that the results for the use of hormonal contraceptives for women with asthma were mixed, with increased or decrease in the following risks: new asthma episodes, increased frequency and wheezing. The use of hormonal contraception in obese patients with asthma is controversial. Conclusion: The results for the use of hormonal contraceptives in women with asthma are inconsistent, with reports of increased or reduced risk of new episodes. The use of the contraceptive method should be discussed individually, taking into account other associated risk factors and the woman’s desire. The patient will be advised if there is a worsening of the clinical symptoms of asthma while using any hormonal contraceptive method.Objetivo: Analisar o uso dos contraceptivos hormonais em mulheres com asma e a escolha desses métodos contraceptivos para essa população, com avaliação de eventuais repercussões sobre novos episódios de asma e sibilos. Métodos: Foram selecionados estudos longitudinais, ensaios clínicos, revisões sistemáticas e metanálises. As plataformas consultadas foram PubMed, Embase, Cochrane e SciELO, com a utilização dos descritores: “contracepção”, “contracepção hormonal”, “sistema intrauterino liberador de levonorgestrel” e “asma”. Resultados: Dois grandes estudos demonstraram que o uso de contraceptivos hormonais esteve associado à redução do risco de novos episódios de asma. Uma revisão sistemática concluiu que os resultados para o uso de contraceptivos hormonais para mulheres com asma foram mistos, com aumento ou redução dos seguintes riscos: novo episódio de asma e aumento da frequência das crises e dos sibilos. O uso da contracepção hormonal em pacientes obesas portadoras de asma é controverso. Conclusão: Os resultados para o uso de contraceptivos hormonais em mulheres com asma são inconsistentes, com relatos de aumento ou de redução do risco de novos episódios. O uso do método contraceptivo deve ser discutido individualmente, levando-se em consideração outros fatores de risco associados e o desejo da mulher. A paciente deverá ser orientada se houver piora dos sintomas clínicos de asma na vigência do uso de qualquer método contraceptivo hormonal.Universidade Federal de Minas GeraisBrasilMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIAUFMG2024-10-02T21:22:18Z2024-10-02T21:22:18Z2023info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlepdfapplication/pdf01007254http://hdl.handle.net/1843/77138porFeminaElaine Cristina Fontes de OliveiraRossana Cristina Fontes CottaAna Luiza Lunardi Rochainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMG2024-10-02T21:22:18Zoai:repositorio.ufmg.br:1843/77138Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oairepositorio@ufmg.bropendoar:2024-10-02T21:22:18Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.none.fl_str_mv O uso de métodos contraceptivos hormonais em pacientes com asma: repercussões clínicas
The use of hormonal contraceptives methods in patients with asthma: clinical repercussions
title O uso de métodos contraceptivos hormonais em pacientes com asma: repercussões clínicas
spellingShingle O uso de métodos contraceptivos hormonais em pacientes com asma: repercussões clínicas
Elaine Cristina Fontes de Oliveira
Contracepção Hormonal
Asma
Anticoncepcionais orais
Contracepção Hormonal
Asma
Anticoncepcionais Orais
title_short O uso de métodos contraceptivos hormonais em pacientes com asma: repercussões clínicas
title_full O uso de métodos contraceptivos hormonais em pacientes com asma: repercussões clínicas
title_fullStr O uso de métodos contraceptivos hormonais em pacientes com asma: repercussões clínicas
title_full_unstemmed O uso de métodos contraceptivos hormonais em pacientes com asma: repercussões clínicas
title_sort O uso de métodos contraceptivos hormonais em pacientes com asma: repercussões clínicas
author Elaine Cristina Fontes de Oliveira
author_facet Elaine Cristina Fontes de Oliveira
Rossana Cristina Fontes Cotta
Ana Luiza Lunardi Rocha
author_role author
author2 Rossana Cristina Fontes Cotta
Ana Luiza Lunardi Rocha
author2_role author
author
dc.contributor.author.fl_str_mv Elaine Cristina Fontes de Oliveira
Rossana Cristina Fontes Cotta
Ana Luiza Lunardi Rocha
dc.subject.por.fl_str_mv Contracepção Hormonal
Asma
Anticoncepcionais orais
Contracepção Hormonal
Asma
Anticoncepcionais Orais
topic Contracepção Hormonal
Asma
Anticoncepcionais orais
Contracepção Hormonal
Asma
Anticoncepcionais Orais
description Objective: To analyze the use of hormonal contraceptives in women with asthma and the choice of this contraceptive method for this population, evaluating possible repercussions on new episodes of asthma and wheezing. Methods: Longitudinal studies, clinical trials, systematic reviews and meta-analyses were selected. Platforms consulted: PubMed, Embase, Cochrane, SciELO, using the descriptors: “contraception”, “hormonal contraception”, “levonorgestrel-releasing intrauterine system” and “asthma”. Results: Two large studies demonstrated that the use of hormonal contraceptives was associated with a reduced risk of new episodes of asthma. A systematic review concluded that the results for the use of hormonal contraceptives for women with asthma were mixed, with increased or decrease in the following risks: new asthma episodes, increased frequency and wheezing. The use of hormonal contraception in obese patients with asthma is controversial. Conclusion: The results for the use of hormonal contraceptives in women with asthma are inconsistent, with reports of increased or reduced risk of new episodes. The use of the contraceptive method should be discussed individually, taking into account other associated risk factors and the woman’s desire. The patient will be advised if there is a worsening of the clinical symptoms of asthma while using any hormonal contraceptive method.
publishDate 2023
dc.date.none.fl_str_mv 2023
2024-10-02T21:22:18Z
2024-10-02T21:22:18Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv 01007254
http://hdl.handle.net/1843/77138
identifier_str_mv 01007254
url http://hdl.handle.net/1843/77138
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Femina
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
Brasil
MED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
UFMG
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
Brasil
MED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
UFMG
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Repositório Institucional da UFMG
collection Repositório Institucional da UFMG
repository.name.fl_str_mv Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv repositorio@ufmg.br
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