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March 1, 1996The European Journal of Contraception & Reproductive Health Care

Routine screening for coagulation inhibitors prior to prescribing the pill: Prevalence data from a large cohort of German pill starters

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Why the study?

Does routine screening for coagulation inhibitors prior to prescribing oral contraceptives accurately identify deficiencies in healthy women?

Population

2,674 apparently healthy women who are candidates for oral contraceptives

Design

Cross-sectional

Authors

UWUlrich WinklerUniversität UlmJZJ. -P. ZierleynEssen University HospitalHSH. SchulteRoche (United States)

Discussion

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Implication

High false-positive rates compromise routine inhibitor screening before oral contraceptives; leaves open targeted testing in high-risk subgroups.

Structured PICO

Does routine screening for coagulation inhibitors prior to prescribing oral contraceptives accurately identify deficiencies in healthy women?

P
Population
2,674 apparently healthy women who are candidates for oral contraceptives
I
Intervention
Routine screening of the hemostatic system for coagulation inhibitors (protein S, antithrombin III, protein C)
O
Outcome
Prevalence of coagulation inhibitor deficiencies and rate of false-positive resultssurrogate

Unselected routine screening for coagulation inhibitors before prescribing oral contraceptives yields a high rate of false positives and is not recommended, except possibly for those with a family history of thromboembolic disease.

Cite This Study

Winkler et al. (1996) studied this question.

synapsesocial.com/papers/6a8693992ddf18dfdd75e768https://doi.org/10.3109/13625189609150655
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Routine screening for coagulation inhibitors prior to prescribing the pill: prevalence data from a large cohort of German pill starters1996 · 6 citations
  2. 2Combined oral contraceptives and the risk of venous thromboembolism carriers of antithrombin, protein C or S deficiency: Sub-analysis of a prospective cohort study2022 · 1 citations
  3. 3Effect of oral contraceptives on the anticoagulant activity of protein S in plasma2005 · 55 citations
  4. 4Oral contraceptives and gender affect protein S status1987 · 143 citations
  5. 5Oral contraceptives and gender affect protein S status1987 · 9 citations