Contraception in the Lupus Patient

CONCLUSION

Women with SLE should be carefully evaluated and assessed before administration of any exogenous hormones containing estrogen. To avoid hypercoagulability, particular care should be taken prior to prescribing any estrogen therapy to SLE patients who also suffer from APS, and use of combination OCs is contraindicated in patients with active lupus nephritis. Recent studies have shown safety and efficacy of progestogen-only contraceptives in SLE patients, and the use of an IUD has also been proved safe for use in SLE patients who are not severely immunocompromised. Regardless of form or regimen, all SLE patients receiving any hormonal contraceptive therapy should be carefully followed and monitored for any signs of complications or flares.

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About ARHP
ARHP is a nonprofit, national medical organization that has been educating front line providers and their patients since 1963. The organization and members are dedicated to educating physicians and health care providers, and the public about important reproductive health issues including contraception, sexually transmitted diseases, menopause, abortion, sexuality, and infertility. ARHP contact information: 2401 Pennsylvania Ave, N.W., Suite 350, Washington DC 20037-1718; ph: (202) 466-3825; fax: (202) 466-3826; e-mail: .(JavaScript must be enabled to view this email address);


Thomas E. Nolan, MD, MBA

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