Gynecology Book

Contraception Management

  • Contraceptive Selection in Underlying Cardiovascular Disease

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Contraceptive Selection in Underlying Cardiovascular Disease

Aka: Contraceptive Selection in Underlying Cardiovascular Disease
  1. Indications: Highly reliable Contraception
    1. Chronic Anticoagulant use (Warfarin)
    2. Congenital Heart Disease for which pregnancy is very high risk of complication
      1. Eisenmenger's Syndrome
      2. Primary Pulmonary Hypertension
      3. Cardiomyopathy
      4. Congestive Heart Failure
      5. Marfan's Syndrome
  2. Management
    1. Avoid Oral Contraceptives due to thrombosis risk
    2. Intrauterine Device (Copper-T IUD or Mirena)
    3. Consider Depo Provera

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