[Effects of transdermic estrogen therapy, isolated or in association with micronized progesterone, on clotting factors in overweight or normal postmenopausal women]

Arq Bras Endocrinol Metabol. 2006 Jun;50(3):505-14. doi: 10.1590/s0004-27302006000300014.
[Article in Portuguese]

Abstract

To evaluate HRT action over hemostasis we treated 45 postmenopausal women, divided in: Group 1 (N= 22, hysterectomized) and Group 2 (N= 23, with uterus), at the average age of 51.6 years and average BMI of 27.1 kg/m(2), with no significant difference in the base-line, with 17beta-oestradiol, 50 mcg/day, transdermic and continuous (group 1) associated to micronized progesterone 200 mg 12 days per month (group 2). The average of 2 samples of TAP, PTT, fibrinogen and platelet number was measured monthly during 3 months. For the total sample, there was a PTT shortening along treatment, from the second evaluation on (p= 0.006). Fibrinogen in Group 2 was significantly higher than in Group 1, from the second evaluation on (p= 0.0005). Patients with BMI > 25 presented a greater TAP shortening (p= 0.040) and a smaller fibrinogen drop (p= 0.033) than patients with BMI < 25. Prothrombotic effects predominated, especially in overweight women and in those who used progesterone.

Publication types

  • English Abstract

MeSH terms

  • Analysis of Variance
  • Blood Coagulation / drug effects*
  • Blood Coagulation Factors
  • Blood Coagulation Tests
  • Body Mass Index
  • Estrogen Replacement Therapy / adverse effects*
  • Estrogens / administration & dosage*
  • Female
  • Humans
  • Middle Aged
  • Obesity / complications
  • Overweight / physiology*
  • Postmenopause / blood
  • Postmenopause / drug effects*
  • Progesterone / administration & dosage
  • Statistics, Nonparametric
  • Venous Thrombosis / blood
  • Venous Thrombosis / etiology*

Substances

  • Blood Coagulation Factors
  • Estrogens
  • Progesterone