Don’t routinely require general blood tests, general coagulation tests or tests for trombophylia to prescribe hormonal contraceptive medications.
![](https://choosingwiselyitaly.org/wp-content/uploads/2019/04/tipologia-icon.png)
Type of practice
Laboratory tests![](https://choosingwiselyitaly.org/wp-content/uploads/2019/04/eta-icon.png)
Age
AdultWhen prescribing hormonal contraceptive medications and tests it is reccomended to get an accurate personal and family history, measure blood pressure. It is recommended to offer a choice between different contraceptive metods and a good quality counselling, that takes in consideration both clinical and personal needs or preferences of women and couples. When prescribing estro-progestinic methods prefer ones with lower thrombotic risk.
Sources
1. Istituto Superiore di Sanità: Conferenza nazionale di consenso: Prevenzione delle complicanze trombotiche associate all’uso di estro-progestinici in età riproduttiva. Roma 18-19 settembre 2008.
2. OMS: Criteri medici per la contraccezione (Medical eligibility criteriafor contraceptive use – fourth edition, 2009.
3. EMA: benefits of combined hormonal contraceptives continue to outweigh risks – CHMP endorses PRAC reccomendation. Product information to be updated to help women make informed decisions about their choice of contraception (22/11/2013).
Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.
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