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Re: D-dimer, blood clots, the pill
From: John Essien MD (anonymous@obgyn.net)
Sat, 24 May 2003 11:26:49 -0500 (CDT)
BCP's tend to increase the risk of blood clotting in patients with
predispositions. Your D-dimer test indicates such predisposition, and
as such consider using other forms of birth control until the situation
is clarified.
At Sat, 24 May 2003, Tiff wrote:
>
>I was recently seen in the ER for a slight wheeze and some mild chest
>discomfort. They did a d-dimer which was positive at 1500 with the cut
>off value being 500 or below. They did a V/Q scan which came back
>normal and a leg scan two days later which was also normal(my upper
>thigh had been and still is hurting me) Did the sufficiently rule out a
>DVT and PE with these tests? What else can cause d-dimer elevation,
>could the nurse blowing my vein prior to drawing the blood do this? I am
>on Yasmin, I heard somewhere that it raises your blood clot risk ten
>times or more. Is this true? I need some advice here, my doctor just
>says to forget it but how can I forget a d-dimer of 1500?!? I am 23 and
>a non smoker. Thanks.
--
John Essien, M.D. SOCOG
Camaguey, Cuba; Basseterre, St. Kitts
http://www.obgyn.net/all_advisors/J_Essien.htm
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