Factor V Leiden & Contraception

From: Joanne Bulley, MD (islesannie@gmail.com)
Thu Jul 31 12:03:59 2008

20 yo G0.

Previously on OCPs without a problem (for 1-2 years)

NOT on OCPS has a thrombus in her arm: hematology work up (+) for Factor V Leiden.

Currently using condoms *religiously* - no misses or non use.

But would like something with effectiveness >98%

Options - how would you rank your recommendations:

NuvaRing

Progestin only pill

Implanon (etonorgestrel 3 year implant)

Mirena (levonorgestrel IUD)

Paragard (copper T IUD)

She has made her decision - just wonder what others are recommending. 

--
Joanne Bulley, MD
solo gyn
Keene, NH


My 25 yo daughter just became engaged to a WONDERFUL young man - they got engaged
in a 13th century castle in Tuscany.



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