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. 2018 Apr;131(4):632-634.
doi: 10.1097/AOG.0000000000002518.

Abnormal Vaginal Bleeding in Women Desiring Contraception Who Are Taking Anticoagulation Therapy

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Abnormal Vaginal Bleeding in Women Desiring Contraception Who Are Taking Anticoagulation Therapy

Adam Bonnington et al. Obstet Gynecol. 2018 Apr.

Abstract

A 30-year-old nulligravid woman is referred to you for heavy menstrual cycles. Although her menstrual cycles were previously light, she was recently diagnosed with an unprovoked lower extremity venous thromboembolism and is taking anticoagulation therapy after a negative thrombophilia workup. She wants help with her vaginal bleeding and desires contraception.

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References

    1. Marret H, Fauconnier A, Chabbert-Buffet N, Cravello L, Golfier F, Gondry J, et al. Clinical practice guidelines on menorrhagia: management of abnormal uterine bleeding before menopause. Eur J Obstet Gynecol Reprod Biol 2010;152:133–7.
    1. Diagnosis of abnormal uterine bleeding in reproductive-aged women. Practice Bulletin No. 128. American College of Obstetricians and Gynecologists. Obstet Gynecol 2012;120:197–206.
    1. Huq FY, Tvarkova K, Arafa A, Kadir RA. Menstrual problems and contraception in women of reproductive age receiving oral anticoagulation. Contraception 2011;84:128–32.
    1. Klok FA, Schreiber K, Stach K, Ageno W, Middeldorp S, Eichinger S, et al. Oral contraception and menstrual bleeding during treatment of venous thromboembolism: expert opinion versus current practice: combined results of a systematic review, expert panel opinion and an international survey. Thromb Res 2017;153:101–7.
    1. Medical eligibility criteria for contraceptive use. 5th ed. Geneva (Switzerland): World Health Organization; 2015.

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