I had a venous ablation 7 months ago. I'm in pain again and am still wearing compression stockings. I'm seeing my doctor next week, but I was wondering if it's safe to continue taking Beyaz post-ablation. I've been concerned since Beyaz has been linked to DVT.
Beyaz, like any other OCP, can put someone at risk for a DVT regardless of if they have undergone a venous ablation. This risk, however, is normally at its highest for the first month or so after any change in dosing for any OCP or hormonal medication. This increased risk is still relatively small and is not a contraindication before or after an ablation.
Published on Jul 11, 2012
Having the ablation will not increase your risk of DVT any more than the medication might already. After 7 months, the vein that was ablated is probably completely reabsorbed. As far as the link between DVT and the med, your doctor or pharmacist should be able to answer that question better, knowing the studies that might have done.
Published on Jul 11, 2012
Beyaz is a COC (combined oral contraceptive) hormone preparation. COC's do increase the risk of DVT (deep vein thrombosis). This increase in risk should be considered in context of any other risk factors you may have, and the benefits of this hormone for you. Your ablation seven months ago should not have any direct bearing on your decision to continue Beyaz as long as post-ablation ultrasounds show no problems.
Published on Jul 11, 2012
Oral contraceptives can cause blood clots in individuals prone to developing them. If you and your family members have never had a blood clot, it should be safe to continue Beyaz; if you or a family member has had a clot, talk to your doctor first.
Published on Jul 11, 2012
Yes, you should be evaluated and have an ultrasound performed. Any unusual leg pain should be evaluated. Women on oral contraceptives or hormone replacement do have a higher risk of DVT but with a healthy lifestyle, hydration, exercise, weight control etc, this can be minimized. Wearing a compression hose also reduces the risk. I have treated thousands of women on some sort of hormone therapy without any DVT occurrences. At 7 months post-ablation you have no more risk of DVT that a woman on contraceptives who has not needed any vein procedures.
Published on Jul 11, 2012
You must have this discussion with your doctor.
Published on Jul 11, 2012
All birth control pills and all hormones have the potential to cause DVT. Smoking increases the risk more. Have you had DVT, or do you have family history of DVT? If so, then I would be more concerned. Since I don't have all the history, please go to your doctor and have him assess all the pro's and con's.
Published on Jul 11, 2012
Beyaz has been linked to DVT, but that is not related to varicose veins.
Published on Jul 11, 2012
Oral birth control pills are associated with the development of DVT. The pain in your leg may have no relationship to your veins. You should have a full venous ultrasound to look for DVT as well as the status of the valves post ablation. Also a d-dimer blood test would be significant if negative as proof that you do not have DVT. Once a venous workup is done, then a decision could be made as to the safety of continuing Beyaz.
Published on Jul 11, 2012
Yes. If you have been on Beyaz for a while, I would continue. This is recommended if no previous dvt present. If previous dvt present on the drug, then I would say to consult with your doc.
Published on Jul 11, 2012