Table 1.
Summary of female-specific stroke risk factors
| Exposure | Risk association | Further research needed |
|---|---|---|
| Endogenous hormones | ||
| Early age at menarche (<10) |
|
|
| Early age at menopause/BSO* (<45 years) |
|
|
| Reproductive lifespan | ? | Yes |
| Low DHEAS** |
|
|
| Estradiol | ? | Yes |
| Testosterone |
|
|
| Exogenous hormones | ||
| PMH***: Oral estrogens |
|
|
| PMH***: Transdermal estrogens | ? | Yes |
| Combined oral contraceptives |
|
|
| Progestogen only contraceptives |
|
Yes |
| Transgender exogenous estrogens |
|
Yes |
| Transgender exogenous testosterones |
|
Yes |
| Pregnancy related exposures | ||
| Pregnancy/ Peripartuition |
|
|
| Gestational diabetes |
|
|
| Hypertension in pregnancy/ pre-eclampsia |
|
Yes |
BSO = bilateral salpingo-oophorectomy
DHEAS = dehydroepiandrosterone
PMH = Postmenopausal hormones