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Correspondence
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Volume 350:307-308 January 15, 2004 Number 3
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Combined Estrogen–Progestin Oral Contraceptives

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 by Petitti, D. B.
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To the Editor: Petitti (Oct. 9 issue)1 offers recommendations regarding the use of estrogen–progestin oral contraceptives. Since third-generation compounds containing desogestrel or gestodene as progestin are associated with a higher risk of venous thromboembolism than those containing other types of progestin,2 it is preferable for women with an increased base-line risk of venous thromboembolism to use second-generation compounds. Among them are carriers of the factor V Leiden mutation, which is the most common cause of thrombophilia and is present at a frequency of 2 to 15 percent in populations of Caucasian descent.3 Petitti's statement that oral contraceptives are contraindicated in . . . [Full Text of this Article]




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