Contraception for women with a history of solid organ transplantation

Colleen M. Krajewski, Anne E. Burke

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

For women with uncomplicated solid organ transplantation, the US Medical Eligibility Criteria for Contraceptive Use consider all methods of contraception category 2 (benefits generally outweigh risks). Pregnancy is not recommended until graft function is stable, and thereafter should be carefully timed in conjunction with a transplant team. For this reason, it is recommended that patients with a history of transplantation use highly effective methods of contraception when not actively trying to conceive. The only types of contraception that have been systematically studied in women after transplantation are combined hormonal contraception and the intrauterine device (IUD). IUDs were historically thought to be contraindicated in a post-transplant population, but modern literature is overwhelmingly reassuring. These studies, though small series, are largely reassuring. Long-acting reversible contraception (LARC) methods are underutilized in this population.

Original languageEnglish (US)
Title of host publicationContraception for the Medically Challenging Patient
PublisherSpringer New York
Pages147-155
Number of pages9
ISBN (Electronic)9781493912339
ISBN (Print)9781493912322
DOIs
StatePublished - Jan 1 2014

ASJC Scopus subject areas

  • Health Professions(all)
  • Medicine(all)

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  • Cite this

    Krajewski, C. M., & Burke, A. E. (2014). Contraception for women with a history of solid organ transplantation. In Contraception for the Medically Challenging Patient (pp. 147-155). Springer New York. https://doi.org/10.1007/978-1-4939-1233-9_9