Project Title: Are Progesterone-Only Contraceptives Safe in Women with Tobacco Use and Venous Thromboembolic Disease? Authors: Bradford Winslow, MD; Garrett Urban, MD; Danielle Eves, MD; Emily Berger, MD
Program: Swedish Family Medicine Residency
Abstract: This small FPIN HDA review article aims to answer the question: Are Progesterone-Only Contraceptives Safe in Women with Tobacco Use and Venous Thromboembolic Disease? The evidence showsProgesterone-only contraceptives (POC’s) do not increase the risk of recurrent venous thromboembolism (VTE) in women with tobacco use and a history of VTE (SOR: B, systematic review of cohort studies and case-control studies), although an elevated risk may exist for injectable POC’s in all women. The guidlines also suggest the benefits out weight the risks of progesterone only contraception use in all women except those with active VTE.
Learning Objectives: Participants will be able to… • Assess the safety of progesterone-only contraception use in tobacco users • Assess the safety of progesterone-only contraception use in those with VTE • Apply the guidelines of the CDC and WHO regarding progesterone-only contraception use in women who use tobacco or have had a VTE.
Category: Maternal and child health