O uso de métodos contraceptivos hormonais em pacientes com asma: repercussões clínicas
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , |
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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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 |
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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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1816829694640652288 |