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Obesity and female hormones

Consultant in Community Gynaecology, Waltham Forest PCT, Hurst Road Health Centre, Walthamstow, London E17 3BL, UK E-mail: sunanda.gupta{at}wf-pct.nhs.uk

This article reviews the impact of obesity on hormonal contraceptives and hormone replacement therapy (HRT) at the climacteric, with emphasis on efficacy and adverse effects in relation to arterial and venous thrombosis, myocardial infarction and stroke. The association, whether causal or otherwise, between obesity, weight gain, hormonal contraception and HRT is discussed.

Keywords efficacy / hormonal contraceptives / hormone replacement therapy / obesity / weight gain