Question

5

A patient has history of left-sided DVT during her pregnancy and another one in the post-partum period in her other leg. She has tested positive for hereditary thrombophilia (a genetic condition that makes her blood more likely to clot).

This patient is seeking highly effective birth control. Which of the following might you recommend?

Answer 1

For patients with Thrombophilia disease cinsidering starting contraception,comined oral contraceptives(COCs),combined injectable contraceptives, combined injectable contraceptives and combined patch /vaginal ring contraceptives should be avoided.

Acceptable forms of contraception are-

copper intrauterine devices(IUD)

a progestin only pill,

a progestin-only levonorgestrel realsing Intra uterine device(IUD),

progestin -only implants containing levonorgestrel/etonogestrel,

progestin- only injections using depot medroxyprogesterone acetate/norethisterone enanthate.

we should note that potential harm outwieghs the expected benefit from using any type of hormonal contraceptive.

some other safe methods invloves using condoms,diaphragms and cervical caps.