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Correspondence
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Volume 337:200-202 July 17, 1997 Number 3
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Hormone-Replacement Therapy and Coagulation

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 by Koh, K. K.
To the Editor: Koh et al. (March 6 issue)1 report that the administration of conjugated estrogen alone or with progestin reduced plasminogen-activator inhibitor type 1 (PAI-1) levels in postmenopausal women, and the authors speculate that this may contribute to the protective effect of hormone-replacement therapy against coronary artery disease. Whether hormone-replacement therapy increases or decreases the risk of thromboembolic episodes is controversial. Several authors have reported an increased incidence of thromboembolic episodes and blood-coagulation changes, resulting in a hypercoagulable state in patients undergoing hormone-replacement therapy. On the other hand, the improvement in lipid patterns in patients undergoing hormone-replacement therapy may . . . [Full Text of this Article]

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