GYN: Depo-Provera and prior PTE

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Mon Nov 29 10:27:18 2004


27 YO BP1011 is in for her 6 week postop visit from a C/S.

She had a PTE on OCPs prior to pregnancy, and also has had a molar pregnancy requiring D and C/chemo (this is per history--no records).

In this pregnancy, extensive thromobophilia workup negative, on Lovenox until near term, then heparin, and coumadin through 6 weeks.

She needs effective contraception, and isn't at all interested in an IUD.

I am having a senior moment here--isn't Depo-Provera OK with the history of PTE? Now, I know what the PDR says, but isn't reality that Depo is OK, or am I being forgetful?

Garry

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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