hi jean

I am on coumadin for life (and have been already for about 15 years) due to a clotting disease. I am on a low dose transdermal bio-identical estrogen due to premature menopause in my 30s. This is important for my bones as I am on steroids which put me at high risk for osteroporosis.

I have done a lot of research on this and talked with many doctors about this and this seems to be a safe option for me provided I remain anticoagulated.

I haven't clotted since being on transdermal hrt so I feel very comfortable with this. But you will find that most hematologists don't know about the differnce between transdermal and oral estrogen and their respective clotting profiles. I would never take the BCP though. The people that I find know most about this stuff are actually reproductive endochronologists

hth
raglet