Should Combined Hormonal Contraception Be Stopped in the Perioperative Period?

Takvorian, Katherine · NEJM Evid · 2022

expert_opinion · Level V

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Abstract

Should Combined Hormonal Contraception Be Stopped in the Perioperative Period?A 34-year-old woman is scheduled to undergo surgery to manage a torn anterior cruciate ligament in her left knee. Her only medication is an estrogen- and progestin-containing oral contraceptive pill (OCP). Should she stop her combined oral contraception to reduce the risk of a postoperative blood clot?

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