Patient : Hi. I have Factor V Leiden and currently have a copper IUD in place. I recently started a high dose of spironolactone 100mg BID for abnormal hair growth and resistant acne that is due to my higher than normal testosterone levels. I dont know if I have PCOS, I am not obese. (5 ft 6 inches 148 pounds), but for years I've had trouble with irregular periods, acne and abnormal hair growth (on my face and neck), and my dermatologist decided to test my hormone levels; I cant remember what my testosterone levels were, but they were on the borderline of high-normal to high. I understand that sprionolactone is usually given with some sort of OCP to control the irregular bleeding, which I have been experiencing. However due to my Factor V Leiden, which gave me massive bi-lateral PE while on OCP's a few years ago at age 22, I am now on Paragard Copper IUD, because my hematologist absolutely will not let me take hormonal birth control, even progestin-only forms. I guess my question is, how can I control the irregular bleeding without use of hormonal birth control?
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