Contraception in Liver diseae

 https://pmc.ncbi.nlm.nih.gov/articles/PMC10878548/


https://www.journal-of-hepatology.eu/article/S0168-8278(23)00181-2/fulltext



Any progesterone only option is OK in any patient with any liver disease - for eg MIRENA


-> IUD are progesterone only

-> it is the estrogen that is tricky in patients with liver disease (eg in Budd chiari, decompensated liver disease, with hepatic adenomas) - Estrogen can cause coagulopathy, estrogen metabolism is affected in decompensated liver disease, and hepatic adenomas growth is promoted by estrogen (increase growth and rupture)



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