MEDICAL MATTERS

  • Medical Matters features questions asked by Members of the ME Association on health-related topics.
  • Dr Charles Shepherd and the ME Association's other advisers answer these questions by sharing their expert knowledge.
  • Medical Matters is based on the popular ‘Ask the Doctor’ series in ME Essential magazine.
  • It is a free resource that supplements the detailed information contained in the full range of literature that can be found in the website shop.

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Questions in the Category: Thrombosis

Medication: What is the best method of contraception if you have ME?

ME Essential Autumn 2023

What is the best method of contraception if you have ME?

My partner and I have a dilemma regarding our choice of contraception. I have mild to moderate ME/CFS. My husband is fit and well. We want to use a safe and reliable method but we aren't having much luck!

I had to give up using ‘the pill' because of side-effects, including migraine-type headaches. So we are reluctantly using barrier protection. But this isn't ideal when you are not wanting to have another baby for both health and practical reasons.

I've thought about using a coil but am worried about whether having a ‘foreign body' inside could cause more problems with my immune system. I'm also worried about the risk of infection, having had a pelvic infection in the past.

There doesn't seem to be a simple solution and my GP isn’t very helpful when it comes to discussing the remaining options.

Treatment: Apheresis

ME Essential Summer 2022

Are you aware of a new treatment called apheresis that is being given to people with Long Covid? It is supposed to remove small blood clots that are involved in causing Long Covid. Some of the overseas clinics that are treating people with Long Covid are also offering apheresis to people with ME/CFS and I know of several people who have travelled abroad to have apheresis – with mixed results. So why isn’t apheresis also being made available to people with ME/CFS here in the UK?

Blood: Clots (Thrombosis)

ME Essential Summer 2022

Are people with ME more likely to develop blood clots? I ask because I am due to go into hospital for some quite major surgery and will be fairly immobile for some time afterwards. The hospital consultant has queried whether people with ME are at increased risk from developing blood clots. I also understand that blood-thinning drugs are sometimes given after an operation to people who have risk factors for developing blood clots.

Charles Shepherd

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