Hello dear colleagues,
I have a patient who had 2 episodes of venous thromboembolism once in pregnancy and undergoing hip surgery, and the second one after an episode of COVID-19 infection. She had a history of endometriosis surgery before and now needs to receive suppressive therapy to prevent the recurrence of endometriosis. Regarding her history of VTE what could be prescribed for her to prevent endometriosis recurrence? Is LNG-IUD (Mirena) a safe option in this case?
Dear doctor Anahita,
i am in a good agreement with doctor Kumar answer's.. by using Gnrh analogues hormone.
Is LNG-IUD (Mirena) a safe option in this case? Yes, I would try that first, far less expensive and with much fewer general effects than Gnrh analogues. I would even try depo-provera sooner than Gnrh analogues.
Merena appeared to be a better option because it v=can be used for a longer duration with minimal adverse effects.