A 33-year-old woman with a BMI of 27 kg/m² using a desogestrel POP is told she needs to take anticoagulant prophylaxis with low-molecular-weight hepar...

Question

A 33-year-old woman with a BMI of 27 kg/m² using a desogestrel POP is told she needs to take anticoagulant prophylaxis with low-molecular-weight heparin (LMWH) for 6 weeks after knee surgery. Does her POP need to be changed?

Accepted Answer

No, LMWH does not interact with the POP; she can continue it perioperatively. Only CHC needs to be stopped before major surgery with immobilisation

Answer

Yes, LMWH interacts with the POP

Answer

She must switch to CHC before surgery

Answer

The POP must be stopped 4 weeks before surgery

Answer

She must switch to a Cu-IUD before starting LMWH

uk-dfsrh MCQ (SBA): POP Continue Perioperatively with LMWH

A 33-year-old woman with a BMI of 27 kg/m² using a desogestrel POP is told she needs to take anticoagulant prophylaxis with low-molecular-weight heparin (LMWH) for 6 weeks after knee surgery. Does her POP need to be changed?