Abstract
Preserved fertility stains is frequently encountered in patients with Wilson's disease, and contraceptive counseling may, therefore, be a relevant tissue. Yet, several contraceptive methods can adversely influence the hepatic function, and the efficacy of others may be affected by the liver disease. We describe a patient with Wilson's disease manifested by cirrhosis, portal hypertension, and bleeding esophageal varices who underwent termination of pregnancy at 9 weeks' gestation. Following the procedure, contraceptive advice was sough in order to postpone conception until portal hypertension was controlled and hepatic function improved. Intramuscular depto medroxyprogesterone acetate was administered and tolerated well by the patient. A detailed discussion of the contraceptive options for patients with chronic liver disease, in general, and Wilson's disease, in particular, follows the case report.
| Original language | English |
|---|---|
| Pages (from-to) | 241-244 |
| Number of pages | 4 |
| Journal | Contraception |
| Volume | 56 |
| Issue number | 4 |
| DOIs | |
| State | Published - 1 Oct 1997 |
| Externally published | Yes |
Keywords
- Contraception
- Liver disease
- Portal hypertension
- Pregnancy
- Wilson's disease
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology
