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Women With Complex Vascular Anomalies: Impact on Contraception, Pregnancy and Reproductive Health
Jerome Coulombe1, Sandra Ondrejchak1, Josee Dubois2
1Division of Dermatology, Department of Paediatrics, CHU Ste-Justine, Universite de Montreal, Montreal, QC, Canada.
Journal of Cutaneous Medicine and Surgery
|December 14, 2024
Summary
Women with vascular anomalies (VA) require individualized contraception and pregnancy care. Some oral contraceptives worsened VA, and pregnancy often temporarily worsened existing anomalies.
Area of Science:
- Reproductive medicine
- Vascular medicine
- Gynecology
Background:
- Limited literature exists on contraceptive and reproductive health for women with complex vascular anomalies (VA).
- This study addresses a critical knowledge gap in managing women's health with VA.
Purpose of the Study:
- To evaluate the obstetrical, gynecological, and reproductive health outcomes in women with complex vascular anomalies.
- To inform clinical practice for this specific patient population.
Main Methods:
- Retrospective chart review and phone interviews of adult female patients of childbearing age diagnosed with VA.
- Data collected from a single tertiary care center in Canada.
Main Results:
- Out of 16 patients, 14 used hormonal contraception (oral contraceptive pills [OCP]) or intrauterine devices; 3 experienced worsening VA with OCP use.
- Fifteen women had children, with 12 reporting temporary worsening of their VA during pregnancy or postpartum, which resolved after delivery or cessation of nursing.
- Three women experienced severe complications, with variable degrees of complications across subsequent pregnancies.
Conclusions:
- Contraception and pregnancy management for women with VA must be individualized.
- Close collaboration with a vascular anomaly referral center is crucial for optimal patient care.
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