New Delhi: Women who use a combined oral contraceptive (COC) – the beater is known as a pill – is three times more likely than unexpected strokes than those that do not. These new conclusions were presented at a conference of the European Stroke Organization in Helsinki, Finland on 20 May.The pill is a hormonal contraceptive, which contains both estrogen and progestogen, which prevents the ovaries from releasing an egg every month. A research at the University of Istanbul in Turki has established a relationship between cryptogenic ischemic stroke (CIS) and oral contraceptives. Research analyzed 268 women, who were 18 to 49 years old, who experienced unexpected strokes, compared to 268 women in the same age group without a stroke history.Studies of 2019 and 2022 highlighted similar concerns. The discovery of direct vascular effects of COC requires immediate attention. Healthcare professionals admitted that the duration of use increases and increased estrogen levels increases stroke risk.Dr. Anuradha Kapoor, Principal Director (Maternity and Gynecology) and Max Smart Super Specialty Hospital head, Sacket reported that while drugs can significantly increase the possibility of ischemic stroke, they need to harm the current risk elements usually. “Think of it as adding gasoline to a fire that has not been burnt yet. If you have a genetic factor or already a risk factor, the bullet may be triggered,” he clarified.However, research findings have shown that increased stroke risk associated with oral contraceptive use is independently operated, as no significant union was found between contraceptive use and other documented risk factors.Dr. of the Department of Neurology at Istanbul University. “Our conclusions confirm the evidence of the earlier evidence connecting oral contraceptives to the stroke risk,” said Mine Segon and the lead author of the study. “Especially notable is that the association remains strong even during accounting for other known risk factors, which suggests that additional mechanisms may include – possibly genetic or biological.”Dr. Balaji Action Medical Institute, Director of Maternity and Gynecology at Delhi. Renu Gupta emphasized that the stroke originated from several factors, including genetic, physical and lifestyle related risks. He said that the COC could trigger complications in women with underlying health conditions, including undeclared thrombophilias or autoimmune conditions.While researchers noted that further possible studies are required, they recommend doctors to take care when writing a pill to women with known vascular risk factors or a history of ischemic stroke.Describing the relationship between oral contraceptives and strokes, Prof. Manjari Tripathi, Head of the Department of Neurology at AIIMS, stated that COC use is correlated with continuous increased ischemic stroke risk, especially in women with pre-existing health risk factors. COC use increases the risk of ischemic stroke by 1.6 to 2 times, with a high risk in women that experience migraine with aura. The risk for smoking women intensifies, migraine with high blood pressure, aura, or a stroke history.The estrogen component potentially increases blood coagulability and clot formation.Senior Advisor of Neurology at Indraprastha Apollo Hospitals. Vineet Suri said that the use of first-year presented the most risk affected by estrogen dosage. Modern pills have low estrogen levels, reducing the risk compared to older yogas, he said. The risk increases with smoking, high blood pressure or age above 35. Healthy young women face the least full risk, with pregnancy offer high stroke risk than oral contraceptives.Advisor Neurologist at PSRI Hospital. Bhaskar Shukla said, “The actual risk lies in stacking estrogen at the top of other vascular triggers-smoking with a brief, uncontrolled hypertension or migraine-where methods of non-osteopathy are clearly intelligent conditions.” Increasing menu of informed options, annual check-ups and highly effective lars devices means that women no longer trade peace of mind for modern contraceptives, they said.
