It’s important to discuss this comment by Sonia in greater detail. Combined contraceptives, such as the estrogen-progestin pill that combines both estrogen and progestin hormones, cause a very small increase in the risk of thrombosis. This is estimated to be 0.04 to 0.06 cases/year in 10,000 exposed women compared to a baseline risk of around 2 cases/10,000 in women of childbearing age and the risk during pregnancy of 6/10,000 pregnancies. In this case, the numbers really help to underline the fact that the chance is very low, even more so if there is no familial predisposition, such as in the case of Sara. You should also know that the risk is greater during the first year of taking contraception, and depends on many factors. Some of these factors cannot be influenced, such as age and family history (mother or sisters with a predisposition to thrombosis or with a history of it), while others can be influenced in terms of prevention, such as lifestyle (smoking, unhealthy diet, physical inactivity), trauma, surgery, prolonged immobilization, pregnancy and puerperium. The factors to consider are many, and it is the gynecologist’s job to evaluate each individual case. Trust him/her with confidence to resolve any doubts you may have.
