How to treat DVT?
Patient: Hi i suffered a dvt in 1998 aged 23. Suspected contraceptive pill as cause. No dvt for 15 years, despite surgery, long haul flights and a previous pregnancy terminated as I had a coil fitted. However in September this year got pregnant and suffered severe anxiety, depression and was immobile for a few weeks. Doctors, husband and myself all agreed that termination of pregnancy was sadly required as i was suffering mentally and phsically. Had termination and despite a preventative dose of clexane (heparin) I suffered a dvt later that week. There is a family history of dvt in grandparents. I don't want to go on warfarin for life and I'm depressed I may have to. Normally I'm fit and active. I feel hormones are to blame.  Please do you have any advice? Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. One of the causes of thrombosis is a hypercoagulability, i.e. increased risk of coagulation.2. As you have a family history, and already suffered one episode and future risk is present, you need to be on anti-coagulants.3. Hormones are responsible, yes. However, if you try to reduce the hormones, other complications will happen. You need to be on warfarin for life to avoid risks. Hope it helps.Any further queries, happy to help again.