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January 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 identify true deficiencies without excessive false positives in women starting oral contraceptives?

Population

2674 women recruited to participate in a multicenter oral contraceptive study on hemostasis in Germany

Design

Cohort

Authors

UWU.H. WinklerJZJ.P. ZierleynHSH. Schulte

Discussion

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Implication

High false-positive rates caution against routine unselected screening before oral contraceptives; leaves open targeted testing in women with family history of thrombosis.

Structured PICO

Does routine screening for coagulation inhibitors identify true deficiencies without excessive false positives in women starting oral contraceptives?

P
Population
2674 women recruited to participate in a multicenter oral contraceptive study on hemostasis in Germany
I
Intervention
Routine screening for coagulation inhibitors (protein S, antithrombin III, protein C)
O
Outcome
Prevalence of coagulation inhibitor deficienciessurrogate

Routine unselected screening for coagulation inhibitors before prescribing oral contraceptives is not recommended due to a high rate of false-positive results, though it may be feasible in those with a family history of thromboembolic disease.

Limitations

  • Seven women could not be studied twice to confirm protein C levels

Cite This Study

Winkler et al. (1996) studied this question.

synapsesocial.com/papers/6a8693992ddf18dfdd75e769https://doi.org/10.3109/13625187.11661694.1996
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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 · 9 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. 3Thrombophilia testing in patients taking direct oral anticoagulants. Handle with care2014 · 15 citations
  4. 4Oral contraceptives and gender affect protein S status1987 · 143 citations
  5. 5Oral contraceptives and gender affect protein S status1987 · 9 citations