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Have Factor V Leiden Mutation And Cannot Take Birth Control. Had Sex And Don't Want To Get Pregnant. Suggest?

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Posted on Sat, 21 Sep 2013
Question: Hello Doctor,
I am 21 years old and I have Factor V disorder. Therefore, I can't use birth control bills. Right now, I have sex with my boyfriend but I do not want to be pregnant right now. We use a condom, but I want to ask about Plan B bills if I can use them or it would be XXXXXXX
Thank You
doctor
Answered by Dr. Aarti Abraham (30 minutes later)
Brief Answer:
ASSIGED RISK GRADE 2, CAN TAKE IT.

Detailed Answer:
Hello,

Thanks for your query.

In patients with Factor V Leiden mutation, the risk of thrombotic events is related to the dose of oestrogen present in the contraceptive pills.

Oestrogen containing pills have Risk grading of 4 by the WHO (World Health Organization ) that is they are totally contraindicated. Emergency contraceptives however contain ONLY progesterone, and hence are generally presumed safe for use by women with this disorder.
The risk grading is 2, that is the benefits outweigh any potential risks.

If you want to totally avert any risks, do not take ANY pills, as you have already used a condom and are protected.

All the best
Please feel free to ask any further follow up questions, I would be happy to address them.

Regards

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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Have Factor V Leiden Mutation And Cannot Take Birth Control. Had Sex And Don't Want To Get Pregnant. Suggest?

Brief Answer:
ASSIGED RISK GRADE 2, CAN TAKE IT.

Detailed Answer:
Hello,

Thanks for your query.

In patients with Factor V Leiden mutation, the risk of thrombotic events is related to the dose of oestrogen present in the contraceptive pills.

Oestrogen containing pills have Risk grading of 4 by the WHO (World Health Organization ) that is they are totally contraindicated. Emergency contraceptives however contain ONLY progesterone, and hence are generally presumed safe for use by women with this disorder.
The risk grading is 2, that is the benefits outweigh any potential risks.

If you want to totally avert any risks, do not take ANY pills, as you have already used a condom and are protected.

All the best
Please feel free to ask any further follow up questions, I would be happy to address them.

Regards