Are there contraceptives that will not only provide contraception but will also alleviate menorrhagia associated with a bleeding disorder?
Yes the combined oral contraceptive pill (OCP) is an excellent choice of contraceptive for most women with menorrhagia due to a bleeding disorder (although disease specific treatments may still be more effective – i.e. nasal Desmopressin acetate for Von Willebrands disease). Combined OCPs are also effective for alleviating the recurrent ovulatory intraperitoneal bleeding that affects some women with hemorrhagic diastheses. If satisfactory reduction in flow is not achieved through standard cyclic combined administration of the combined OCP then continuous combined OCPs can prevent ovulation and avoid withdrawal bleeding all together. Depo-Provera can be administered with caution (to avoid hematomas after intramuscular injection) in women who desire amenorrhea or reduced bleeding for whom OCPs are not appropriate or tolerated.
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