Idiopathic thrombocytopaenic purpura and birth control


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.


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: I take the Lutera birth control pill everyday at 11pm. Last night (Saturday) I took a pill at 11pm and this morning (...

Q: Hi - I'm on Alesse for birth control and since having our daughter 7 months ago, I'm quite religious with my pill but...

Q: I have had bilateral PE, DVT x2 and clot behind my eye in the past. My doctor was away and a new doctor put in the im...

Q: I have taken an i-pill on 31st October, my periods was due on 18 but I got it on 7th. But the bleeding is very low wi...

Q: I hVe taken two extra days worth of levlen ed for birth control by mistake and just wanted to no if i should wait two...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon