I have protein S deficiency. What alternative methods of birth control are available other than condoms? Is there any sort of birth control that someone with a Protein S Deficiency can take that won't result in a clot?
What barrier contraceptive methods are available for people with protein S deficiency?
Barrier contraceptive method options, include contraceptive
sponge, female condom, male condom, and diaphragm, cervical cap, and
cervical shield. You can learn more about these methods at WomensHealth.gov
When using barrier contraceptive methods it is generally recommended that people with protein S
deficiency use a "double barrier" method, such as a diaphragm and condom.
Last updated: 2/23/2016
What other birth control options are available to people with protein S deficiency?
Both short-acting and long-acting birth control options are
available for people with protein S deficiency.
short-acting contraceptive, barrier methods (such as condoms and diaphragm) have the lowest risk for
blood clots. However, progestin-only birth control is another option. This option is possibly associated with a small increased risk for venous thromboembolism (VTE).
Progestin-only methods can be taken as pills,
IUD, or shots. Some doctors recommend pills over shots, believing pills a safer option. The American College of
Obstetricians and Gynecologists offers more on progestin-only birth control.
Copper IUD is a long-acting birth control option that has the lowest risk for
blood clots. A copper IUD is effective in preventing
pregnancy for years after insertion. Fertility returns after removal of
the IUD. Progestin-only methods are options for long-acting reversible
birth control as well. The American College of Nurse-Midwives offers
more on Intrauterine Devices (IUD).
We strongly recommend that you discuss the pros and cons of each birth control option with a healthcare provider.
Last updated: 2/23/2016
We hope this information is helpful. We strongly recommend you discuss this information with your doctor. If you still have questions, please
Siddiqui T, Bauer KA, Barbieri RL. Contraceptive counseling for women with inherited thrombophilias. In: Zieman M. UpToDate. Waltham, MA: UpToDate; June 12, 2015; Accessed 2/23/2016.
Dietrich JE, Srivaths L. Navigating Hormones and Gynecologic Concerns among Female Adolescents in the Settings of Thrombophilia and Anticoagulation. J Pediatr Adolesc Gynecol. 2015 Dec; 28(6):549-53. Accessed 2/23/2016.