Key considerations on contraception in rheumatic disease

Key considerations on contraception in rheumatic disease

  • • Contraception is the key to ensuring optimized timing and safety of pregnancy.
  • • Risk of venous thromboembolism with pregnancy is higher than with any contraceptive.
  • • Long-acting reversible contraceptives (implants and intrauterine devices (IUDs) have the highest efficacy.
  • • Both progesterone-containing implants and IUDs are safe in women with high clotting risk.
  • • Estrogen-containing contraceptives should be avoided in women with aPLAs, even with no history of clot or other clotting risk factors.
  • • Women with stable SLE, no aPLAs or clotting risk factors, and no history of clot may use estrogen-containing oral contraceptives.
  • • Contraceptive decisions should include the patient, gynecology, and rheumatology.
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