October 2021

The Generalist: Long-Acting Reversible Contraception (LARCs)

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David G., M.D. -

Could you comment whether these contraceptives qualify as a risk factor for thromboembolism? My understanding is that they do not they are not estrogen-based

Penny W. -

Hi David. Yes that is more or less correct. According to the CDC MEC, progestin only contraceptives are considered category "2" for people with risk factors for VTE or acute VTE. As in, "benefits outweigh risks". As opposed to combined estrogen-progestin contraceptives which are category "4", ie, contraindicated.

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