Idiopathic thrombocytopaenic purpura and birth control

Patient

Q: Hello. I was diagnosed with ITP over four years ago. (I had only one-time bleeding incident; I've had no problems since then and haven't used any medication after that). My question is - can I take birth control pills? (I have really bad cramps for 7 days that affect my life; I take at least 15 pain relievers for them and I'm hoping birth control might be a better solution. Specifically - seasonique, where there are only four periods a year. Is it safe? Thank you very much.

Doctor

A:   One previous episode of idiopathic thrombocytopaenic purpura (ITP) is not a contraindication to the use of the birth control pills. From the symptoms you describe your menstrual cycle appears to be having a significant impact on your life, causing much discomfort and associated analgesic use. I would advise attending your family doctor for a detailed history of your symptoms, relevant past medical history including; deep venous thrombosis, smoking, pregnancy, high blood pressure, breast cancer; and a complete physical examination. It may be necessary to check routine blood work and current platelet count. Based on the results on these investigations your doctor will prescribe appropriate birth control, tailored to your symptoms and past medical history.

Related Q&A

Q: My girlfriend threw up her 2nd to last active birth control pill about an hour after she took it. She took her one th...

Q: My girlfriend and I had a condom break over the weekend. She had been taking birth control for about 6 days. Is plan ...

Q: The pill I'm currently on is Micronor which is norethisterone based, and last week my period was due on and so my doc...

Q: I missed my birth control pill on Monday. I took it with my regular pill on Tuesday. I had sex Tuesday night and my b...

Q: Four weeks ago I was supposed to get my period but instead I decided to take my birth control pack a week early. I ha...

MOST DOCTOR RECOMMENDATIONS
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews