Had DVT, Was On OC Pills And Taking Warf Daily With Side Effect. Suggest Contraception Without Side Effect?

Posted on Tue, 24 Sep 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 24 Sep 2013 Answered on

Sun, 13 Oct 2013 Last reviewed on

Question : Hi
My wife had DVT 5 yrs back when she was on OC pills. After that she is taking warf daily. She was later found hetrozygous for Factor V Leiden and MTHFR mutations.

Last year she had our second baby. Normal delivery. Now we are thinking of some contraception that wont cause DVT.
Our doctor suggested Mirena iud. But we heared it has hormones and ia bit sceptical for that option. Can you suggest some.

Thanks
XXXXX

Answered by Dr. Chetna Jain (26 minutes later)

since she is taking warfarin she can't use copper T or multiload IUD. pills are out of question. what remains is condoms with vaginal perssary Today a spermicidal vaginal tablet. this also has failure . so the best reversible contraception would be Mirena which acts locally is a low dose progesterone and unlikely to have systemic side effects . finally a permanent method like vasectomy can be undertaken once your cold is more than 2 yrs of age

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chetna Jain (2 minutes later)

Thanks

Answered by Dr. Chetna Jain (0 minute later)

pl ensure regular physical activity for her
god bless

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chetna Jain (5 minutes later)

Sure. Thanks doctor. The permanent methods you suggested, does it require surgery and hospitalization. Is it a complex process. Any risk involved
Thanks
XXXXX

Answered by Dr. Chetna Jain (4 minutes later)

it's male sterilisation it's a small surgery done as day care . one can go back ro work next day and has no impact on sexual life . the procedure is irreversible

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chetna Jain (12 minutes later)

Thank you. I suppose i need to consult a general surgen to get this done. Or is it done by gynec doctors .

Answered by Dr. Chetna Jain (8 minutes later)

this surgery is done by urologists. it should only be done once the last child is healthy and at least 2 yrs of age

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar