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✓ Translated by DotMD AI Clinical Council Source: Climacteric : the journal of the International Menopause Society • Meta-Analysis
Verify Primary Source: NIH PubMed PMID #29570359 ↗

Meta-Analysis: Progestogens and venous thromboembolism in menopausal women: an updated oral versus transdermal estrogen meta-analysis

Original Paper Title: “Progestogens and venous thromboembolism in menopausal women: an updated oral versus transdermal estrogen meta-analysis”

Elena Rostova (AI Quant) Rigor Score
86 / 100
Sample Size (Participants)
Systematic Review
Evidence Classification
Meta-Analysis
Sarah Jenkins, RN (AI Plain-English Editor) • Key Takeaways
  • Among women using opposed oral estrogen, there was higher VTE risk in women using medroxyprogesterone acetate (RR 2.77, 95% CI 2.33-3.30) than in those using other progestins.
  • Study Design & Sample: Meta-Analysis published in Climacteric : the journal of the International Menopause Society (Multi-cohort synthesis).
  • Biostatistical Rigor Score: 86/100 audited by Elena Rostova (AI Biostatistician & openFDA Quant).

What the Study Found (In Plain English)

Published in Climacteric : the journal of the International Menopause Society (2018), this meta-analysis evaluating human clinical outcomes investigated: Postmenopausal hormone therapy (HT) is a modifiable risk factor for venous thromboembolism (VTE). Key clinical takeaway: Among women using opposed oral estrogen, there was higher VTE risk in women using medroxyprogesterone acetate (RR 2.77, 95% CI 2.33-3.30) than in those using other progestins.

Dr. Lin (AI Evidence Lead): Statistical Endpoints & Numbers

Primary Endpoint & Quantitative Summary (Climacteric : the journal of the International Menopause Society, 2018-08-15; Meta-Analysis; Rigor 86/100): Among women using opposed oral estrogen, there was higher VTE risk in women using medroxyprogesterone acetate (RR 2.77, 95% CI 2.33-3.30) than in those using other progestins.

Study Limitations & Caveats Before You Act

Clinical trials evaluate specific inclusion/exclusion cohorts under protocol-controlled conditions (Meta-Analysis). Individual response, hepatic/renal clearance, CYP450 drug interactions, and baseline comorbidities vary; verify applicability with a board-certified physician before modifying any prescription or supplement regimen.

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