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Question answered:07/11/07 Warning! this question is over two years old.
We found no guidance regarding the appropriateness of contraception in patients with a pmh of tetralogy of fallot.
The closest guidance we came to was from the Faculty of Sexual & Reproductive Healthcare. This answered the question "For young women with Carpenter's Syndrome and a history of Tetralogy of Fallot (with continuing atrial septal defect), what methods of progestogen-only contraception can be used safely?" [1]. Within the expanded answer they discuss the relative merits of various contraceptives in patients with either complicated and uncomplicated valvular heart disease. The discussion can be read via the link below.
Reference
1) http://www.ffprhc.org.uk/admin/uploads/No869.pdf
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