SAN ANTONIO, Feb. 7 The first major study of ischemic stroke in women taking the latest form of low-estrogen birth control pills finds that they still have about double the stroke risk of women not taking the pill. These findings were reported today at the American Stroke Associations 27th International Stroke Conference. The American Stroke Association is a division of the American Heart Association.
The route of delivery of estrogen may be important. The transdermal patches which deliver estrogen through the skin into the bloodstream, rather than the oral form which is absorbed in the intestine and passes first through the liver, may have less effect on strokes. The liver is the site of production of some clotting factors and it is speculated that is the reason.
This applies to hormone replacement therapy, not oral birth control pills.
American Family Physician---aafp.org
Doctors Guide to the Internet---pslgroup.com