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In reply to LTE: “Weighing risks and centering patients within clinical guidelines”

      We thank Drs. Lapedis, Ray, and Narayana for their feedback and agree that the recommendation regarding preference for surgical/procedural abortion over medication abortion in this population is based on consensus and expert opinion. Our intent with the recommendation was to provide more clinical direction in these often-difficult patient scenarios. Our intent was not to restrict options or to create obstacles to making patient-centered decisions and we feel our wording allows flexibility for the provider to offer other treatment options. We wholeheartedly agree that providers should individualize care, utilize shared decision-making, and account for availability of surgical/procedural abortion, as stated in the recommendation.
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      • Weighing risk and centering patients within clinical guidelines
        ContraceptionVol. 104Issue 6
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          We commend Dr. Lee et al. for presenting thorough guidelines regarding abortion care for patients with bleeding disorders or current use of anticoagulation [1]. While the authors provide an excellent summary of the research to date, the paper highlights the need for additional research, as many of the recommendations are based on expert opinion, rather than high quality evidence.
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