In a new study, researchers found that COVID-19 may increase the risk of blot clots in women who are pregnant or taking estrogen with birth control or hormone replacement therapy.
The research was conducted by a team at Maine Medical Center in Portland, Maine, and Tufts University School of Medicine in Boston, Mass.
One of the many complications of COVID-19 is the formation of blood clots in previously healthy people.
Estrogen increases the chance of blood clots during pregnancy and in women taking birth control pills or hormone replacement therapy.
If infected with COVID-19, these women’s risk of blood clotting could be even higher, and they may need to undergo anticoagulation therapy or to discontinue their estrogen medicines.
The team says during this pandemic, we need additional research to determine if women who become infected with the coronavirus during pregnancy should receive anticoagulation therapy or if women taking birth control pills or hormone replacement therapy should discontinue them.
Research that helps understand how the coronavirus causes blood clots may also provide new knowledge regarding how blood clots form in other settings and how to prevent them.
Researching and understanding the cause of blood clotting in COVID-19, including the intersecting effects of estrogen therapy or pregnancy, has several hurdles and will require innovative animal and tissue models.
Conversations between clinicians and basic researchers and between endocrinologists and hematologists are necessary to explore potential interactions between SARS-CoV-2—the virus that causes COVID-19—and pregnancy or estrogen therapy that could guide clinical management.
One author of the study is Daniel I. Spratt, M.D. from Maine Medical Center.
The study is published in Endocrinology.
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