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Re: Factor V Leiden & Contraception From: allanho@aol.com Thu Jul 31 12:58:06 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: Ascus management question" Previous message: Andrew Folley: "Re: Factor V Leiden & Contraception" In reply to: Joanne Bulley, MD: "Factor V Leiden & Contraception" Next in thread: Joanne Bulley, MD: "Re: Factor V Leiden & Contraception" Reply: Joanne Bulley, MD: "Re: Factor V Leiden & Contraception" Without knowing more about her sexual history, I would say Implanon would be my choice.? NuvaRing is contraindicated for someone with thrombophilia.? I would give Paraguard or Mirena too if she is in a stable relationship.? Then again I had in discussion just last week with a colleague who refused to give IUD's to anyone who was not "married".? We had a debate about the definition of multiple sexual partners.??Are people with?serial monogamy considered as having multiple sexual partners?? If one was married and then divorced, are we obligated to pull their IUD's? Allan Ho -----Original Message----- From: Joanne Bulley, MD <islesannie@gmail.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Thu, 31 Jul 2008 1:04 pm Subject: Factor V Leiden & Contraception 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. Next message: Andrew Folley: "Re: Ascus management question" Previous message: Andrew Folley: "Re: Factor V Leiden & Contraception" In reply to: Joanne Bulley, MD: "Factor V Leiden & Contraception" Next in thread: Joanne Bulley, MD: "Re: Factor V Leiden & Contraception" Reply: Joanne Bulley, MD: "Re: Factor V Leiden & Contraception"

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