Contraception for the transplant patient

Semin Perinatol. 2007 Dec;31(6):372-7. doi: 10.1053/j.semperi.2007.09.007.

Abstract

Patients who have had an organ transplant have a need for highly effective contraception. Intrauterine devices, depo-medroxyprogesterone acetate, and implantable etonorgestrel have the highest efficacy combined with the least chance of interaction with antirejection medication regimens. Combined hormonal contraceptives and progestin-only pills are also acceptable methods for patients who do not have other contraindications to their use. Barrier method use should be advocated for any patient who is entering a new sexual relationship and as an adjunct to other methods. Consultation with a gynecologist experienced with the provision of contraceptives to medically complicated patients is advised for all women of reproductive age who have received an organ transplant.

Publication types

  • Review

MeSH terms

  • Condoms / statistics & numerical data
  • Contraception / methods*
  • Contraceptive Agents, Female / administration & dosage*
  • Contraceptive Agents, Female / adverse effects
  • Contraceptives, Oral / administration & dosage
  • Contraceptives, Oral / adverse effects
  • Female
  • Humans
  • Intrauterine Devices / statistics & numerical data
  • Medroxyprogesterone Acetate / administration & dosage
  • Medroxyprogesterone Acetate / adverse effects
  • Transplants*

Substances

  • Contraceptive Agents, Female
  • Contraceptives, Oral
  • Medroxyprogesterone Acetate