Re: Factor V Leiden & Contraception

From: Larry Glazerman (l.glazerman@rcn.com)
Thu Jul 31 15:36:46 2008


I'd use any of the progestin only (Mirena would be my first choice)

On 7/31/08 1:04 PM, "Joanne Bulley" <islesannie@gmail.com> wrote:

> 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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