Deans' stroke musings: Oral Contraceptives Increase Risk of Ischaemic Stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, March 8, 2018

Oral Contraceptives Increase Risk of Ischaemic Stroke

Were you told about this way back in May 2015? 4 fold increase is not small by any measure.

Taking third generation pills such as Yasmin, Femodene and Marvelon raises the chance of a blood clot four fold.

http://dgnews.docguide.com/oral-contraceptives-increase-risk-ischaemic-stroke?

MAYWOOD, Ill -- March 72, 2018 -- Oral contraceptives increase the risk of ischaemic stroke, but this risk is very small among women who do not have other stroke risk factors, according to a comprehensive review published in MedLink Neurology.

The review also showed that oral contraceptives do not increase the risk of haemorrhagic strokes.

Several mechanisms have been proposed to explain why oral contraceptives increase stroke risk, including by raising blood pressure and by making blood hypercoagulable.

When prescribing hormonal contraceptives, physicians should consider the type and dose of oestrogen or progestin and route of administration.

“The ideal drug is one with the lowest oestrogen and progestin doses that will be effective in preventing pregnancy while minimising adverse effects,” wrote Sarkis Morales-Vidal, MD, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois, and colleagues.

For healthy young women without any stroke risk factors, the stroke risk associated with oral contraceptives is very small.

“However, in women with other stroke risk factors, the risk seems higher and, in most cases, oral contraceptive use should be discouraged,” the authors wrote.

These risk factors include high blood pressure, cigarette smoking, and migraine headaches, especially migraines with aura.

However, women may not always be adequately screened. One previous study found that, among women with one or more stroke risk factors, only 15% recalled being advised not to start oral contraceptives and only 36% remembered being told to stop. Fifteen percent of women were still taking oral contraceptives despite being told to discontinue. These findings highlight the need to improve physician counselling and patient compliance, the authors noted. (NO, this highlights the need to figure exactly what causes these strokes and reconfigure the formulations. Solve the correct problem, don't just sweep it under the rug.)

Reference: http://www.medlink.com/article/hormonal_contraception_and_stroke

SOURCE: Loyola University Chicago Stritch School of Medicine