What is a recommended intervention for a patient on oral contraceptives with thrombosis history?

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For a patient with a history of thrombosis who is currently on oral contraceptives, switching to non-hormonal contraceptives is the most appropriate intervention. Oral contraceptives, particularly those containing estrogen, can increase the risk of blood clots (thrombosis). This risk is particularly concerning for individuals who have pre-existing conditions that contribute to a higher likelihood of clot formation, such as a personal or family history of thrombosis.

By opting for non-hormonal contraceptives, the patient can effectively prevent pregnancy while minimizing the risk of thrombotic events. Non-hormonal options include barrier methods such as condoms or spermicides, intrauterine devices (IUDs) that do not contain hormones, and fertility awareness methods, all of which do not influence clotting factors or increase the risk of thrombosis.

In the case of continued use of oral contraceptives, the patient's risk of thrombotic complications may outweigh the benefits of using hormonal contraceptive methods. Increasing the dosage of oral contraceptives or merely monitoring for side effects would not address the underlying risk of thrombosis and could potentially exacerbate the situation.

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