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Contraceptive Management for Women Who Are at High Risk of Thrombosis.

Publication ,  Journal Article
Gray, B; Floyd, S; James, AH
Published in: Clin Obstet Gynecol
June 2018

Managing contraception for women at high risk for thrombosis poses unique challenges. Combined estrogen and progestin contraceptives increase the risk of both venous and arterial thrombosis. They are contraindicated in women with a history of thrombosis and in other women at high risk for thrombosis. However, progestin-only contraceptives are generally considered safe in this patient population. This paper reviews the evidence linking hormonal contraception and clotting risk, outlines appropriate contraceptive methods for women at high risk for thrombosis, discusses surgical risk for sterilization in the setting of current or past thrombosis, and includes a review of the safety of hormonal methods for women who are fully anticoagulated. In general, long-acting reversible contraception is safe for women with a history of thrombosis and may offer additional noncontraceptive benefits for women who are on anticoagulant therapy, such as improved bleeding profiles.

Duke Scholars

Published In

Clin Obstet Gynecol

DOI

EISSN

1532-5520

Publication Date

June 2018

Volume

61

Issue

2

Start / End Page

243 / 249

Location

United States

Related Subject Headings

  • Thrombosis
  • Sterilization, Reproductive
  • Risk
  • Postoperative Care
  • Obstetrics & Reproductive Medicine
  • Humans
  • Heparin
  • Female
  • Contraindications, Drug
  • Contraceptive Devices
 

Citation

APA
Chicago
ICMJE
MLA
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Gray, B., Floyd, S., & James, A. H. (2018). Contraceptive Management for Women Who Are at High Risk of Thrombosis. Clin Obstet Gynecol, 61(2), 243–249. https://doi.org/10.1097/GRF.0000000000000356
Gray, Beverly, Serina Floyd, and Andra H. James. “Contraceptive Management for Women Who Are at High Risk of Thrombosis.Clin Obstet Gynecol 61, no. 2 (June 2018): 243–49. https://doi.org/10.1097/GRF.0000000000000356.
Gray B, Floyd S, James AH. Contraceptive Management for Women Who Are at High Risk of Thrombosis. Clin Obstet Gynecol. 2018 Jun;61(2):243–9.
Gray, Beverly, et al. “Contraceptive Management for Women Who Are at High Risk of Thrombosis.Clin Obstet Gynecol, vol. 61, no. 2, June 2018, pp. 243–49. Pubmed, doi:10.1097/GRF.0000000000000356.
Gray B, Floyd S, James AH. Contraceptive Management for Women Who Are at High Risk of Thrombosis. Clin Obstet Gynecol. 2018 Jun;61(2):243–249.

Published In

Clin Obstet Gynecol

DOI

EISSN

1532-5520

Publication Date

June 2018

Volume

61

Issue

2

Start / End Page

243 / 249

Location

United States

Related Subject Headings

  • Thrombosis
  • Sterilization, Reproductive
  • Risk
  • Postoperative Care
  • Obstetrics & Reproductive Medicine
  • Humans
  • Heparin
  • Female
  • Contraindications, Drug
  • Contraceptive Devices