Inherited thrombophilia is a genetic tendency to venous thrombosis (VTE), including deep vein thrombosis (DVT), pulmonary embolism, and cerebral vein thrombosis. Women with an inherited thrombophilia are at higher risk of VTE, especially during use of estrogen-progestin contraceptives and pregnancy. In making contraceptive choices, affected women need to balance the risk of VTE associated with use of various types of hormonal contraception against the risk of VTE associated with an unintended pregnancy resulting from use of less effective contraceptive methods.
This topic will discuss contraceptive counseling for women with an inherited thrombophilia. Other issues related to inherited thrombophilias are reviewed in detail separately:
●(See "Screening for inherited thrombophilia in asymptomatic individuals".)
●(See "Management of inherited thrombophilia".)
●(See "Inherited thrombophilias in pregnancy".)