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Combined hormonal contraception and COVID-19.
1Obstetrics and Gynecology Clinical Management Unit, Araba University Hospital, Vitoria, Spain.
Summary
Women can continue using combined hormonal contraception, including estrogen-estradiol (EE) methods, during the COVID-19 pandemic. This review analyzes disease severity factors and thrombotic risks associated with contraception use.
Area of Science:
- Reproductive Health
- Infectious Diseases
- Pharmacology
Background:
- The COVID-19 pandemic raised concerns regarding the safety of combined hormonal contraception (CHC).
- Understanding the interplay between COVID-19 and CHC is crucial for patient care.
- Thrombotic events are a known risk associated with both COVID-19 and CHC.
Purpose of the Study:
- To review the safety and feasibility of using combined hormonal contraception during the COVID-19 pandemic.
- To analyze protective and risk factors related to COVID-19 severity in women using CHC.
- To consolidate current guidelines for managing patients on CHC with COVID-19.
Main Methods:
- A narrative review of existing literature and guidelines.
- Analysis of factors influencing COVID-19 severity.
- Evaluation of risks associated with CHC, particularly thrombotic events.
Main Results:
- Factors influencing COVID-19 severity in women were examined.
- Specific risks of CHC, including thrombotic events in COVID-19 patients, were analyzed.
- Guidelines for managing CHC use in COVID-19 patients were compiled.
Conclusions:
- Combined hormonal contraception, including estrogen-estradiol (EE) formulations, can be safely prescribed and used during the COVID-19 pandemic.
- Continued use of CHC is supported by current evidence, with careful consideration of thrombotic risk factors.
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